Curtis Bryant Blackham is a substance abuse rehabilitation facility in Moroni, UT. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. Curtis Bryant Blackham NPI is 1235425109. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
21260 N 1450 E
MORONI, UT
ZIP 84646-461
Phone: (435) 445-5200
Fax: (435) 445-5201
The enumeration date for this NPI number is 6/20/2011 and was last updated on 6/20/2011.