IndividualActive
Emily Keone, CCM
NPI 1649089954 · Substance Abuse Rehabilitation Facility · Park City, UT
Provider details
- NPI number
- 1649089954
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Credential
- CCM
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
241 Highland Dr
Park City, UT 84098-6405
Phone: (801) 865-9266
Approximate (ZIP-level) locationGet directions
Mailing address
241 Highland Dr
Park City, UT 84098-6405
Registry dates
- Enumerated
- 2025-01-01
- Last updated
- 2025-01-01
- Certified
- 2025-01-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.