Tyler Steven Poulson 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. Tyler Steven Poulson NPI is 1902163678. 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 NORTH 1450 EAST
MORONI, UT
ZIP 84646
Phone: (435) 445-5200
Fax: (435) 445-5201
The enumeration date for this NPI number is 4/18/2012 and was last updated on 4/18/2012.