OrganizationActive
Affinity Guidance Services Inc
NPI 1154772796 · Mental Illness Community Based Residential Treatment Facility · Provo, UT
Provider details
- NPI number
- 1154772796
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Bradley Neufeld, President
- License
- 21366 (UT)
Practice location
1971 N State St
Provo, UT 84604-1012
Phone: (435) 830-6945
Fax: (435) 578-0700
Mailing address
1971 N State St
Provo, UT 84604-1012
Registry dates
- Enumerated
- 2016-06-24
- Last updated
- 2016-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.