IndividualActive
Marvon Holdaway, CM
NPI 1053045898 · Substance Use Disorder Rehabilitation Clinic/Center · Mount Pleasant, UT
Provider details
- NPI number
- 1053045898
- Entity type
- Individual
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Credential
- CM
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
265 N State St
Mount Pleasant, UT 84647-1108
Phone: (435) 462-2781
Fax: (435) 462-0155
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 31
Mt Pleasant, UT 84647-0031
Registry dates
- Enumerated
- 2022-07-15
- Last updated
- 2022-07-18
- Certified
- 2022-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.