IndividualActive
James Beasley
NPI 1629497458 · Substance Abuse Rehabilitation Facility · Moroni, UT
Provider details
- NPI number
- 1629497458
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
21360 N 1450 E
Moroni, UT 84646
Phone: (435) 445-5200
Fax: (435) 445-5201
Approximate (ZIP-level) locationGet directions
Mailing address
21360 N 1450 E
Moroni, UT 84646
Registry dates
- Enumerated
- 2014-04-09
- Last updated
- 2014-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.