IndividualActive
Curtis Blackham
NPI 1235425109 · Substance Abuse Rehabilitation Facility · Moroni, UT
Provider details
- NPI number
- 1235425109
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 272503815 (UT)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
21260 N 1450 E
Moroni, UT 84646-0461
Phone: (435) 445-5200
Fax: (435) 445-5201
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 461
Moroni, UT 84646-0461
Registry dates
- Enumerated
- 2011-06-20
- Last updated
- 2011-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.