IndividualActive
Justin Jensen
NPI 1407158835 · Children's Substance Abuse Rehabilitation Facility · Brigham City, UT
Provider details
- NPI number
- 1407158835
- Entity type
- Individual
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
82 S 800 W
Brigham City, UT 84302-2400
Phone: (435) 538-5061
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 526
Brigham City, UT 84302-0526
Registry dates
- Enumerated
- 2010-11-17
- Last updated
- 2011-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.