IndividualActive
Kallie Madsen
NPI 1649930801 · Children's Substance Abuse Rehabilitation Facility · Ephraim, UT
Provider details
- NPI number
- 1649930801
- Entity type
- Individual
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
66 N 180 W
Ephraim, UT 84627-2130
Registry dates
- Enumerated
- 2021-12-29
- Last updated
- 2021-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.