MR. MATTHEW TRUMAN JOHNSON - NPI 1932534260 - Substance Abuse Rehabilitation Facility in Moroni, UT

Q: What is the provider's specialty?

The provider's specialty is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

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About Mr. Matthew Truman Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MATTHEW TRUMAN JOHNSON (NPI 1932534260) is an individual substance abuse rehabilitation facility provider in Moroni, Utah and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1932534260

Entity TypeIndividualMale

Primary Taxonomy324500000X

Provider Legal NameMR. MATTHEW TRUMAN JOHNSON

Location Address2860 E 19500 NMoroni, UT 84646

Mailing Address480 E 100 SEphraim, UT 84627-5550 · (435) 899-1624

Phone(435) 436-9029

Sole ProprietorYes

Enumeration DateSeptember 5, 2013

✔ NPI 1932534260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

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.

2860 E 19500 N, Moroni, UT 84646

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Other Identifiers 1

Medicaid1235458555UT

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHAN MINER

Counselor