OrganizationActive
Telos
NPI 1629513833 · Mental Illness Community Based Residential Treatment Facility · Orem, UT
Provider details
- NPI number
- 1629513833
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Craig Lamont, Ceo(801) 426-8800
- License
- 5079969-3501 (UT)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 5079969-3501 (UT)
Residential Treatment Facilities
Practice location
661 S 1200 W
Orem, UT 84058-5817
Phone: (801) 921-9726
Approximate (ZIP-level) locationGet directions
Mailing address
870 W Center St
Orem, UT 84057-5202
Registry dates
- Enumerated
- 2016-12-23
- Last updated
- 2016-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.