MR. JUSTIN DEAN JENSEN NPI 1407158835

NPI Information

MR. Justin Dean Jensen is a substance abuse treatment and children substance abuse rehabilitation facility in Brigham City, UT. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. MR. Justin Dean Jensen NPI is 1407158835. 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:

82 S 800 W
BRIGHAM CITY, UT
ZIP 84302-400
Phone: (435) 538-5061

The enumeration date for this NPI number is 11/17/2010 and was last updated on 2/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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