TAMMY MCDOUGAL NPI 1861848616

NPI Information

Tammy Mcdougal is a substance abuse rehabilitation facility in Salt Lake City, 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. Tammy Mcdougal NPI is 1861848616. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

857 E 200 S
SALT LAKE CITY, UT
ZIP 84102-317
Phone: (801) 487-3276

The enumeration date for this NPI number is 5/11/2016 and was last updated on 5/11/2016.

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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