IndividualActive
William Conner
NPI 1679873897 · Children's Substance Abuse Rehabilitation Facility · Moroni, UT
Provider details
- NPI number
- 1679873897
- Entity type
- Individual
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 139432-3501 (UT)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
21260 N 1450 E
21260 North 1450 East
Moroni, UT 84646-0383
Phone: (435) 851-6821
Approximate (ZIP-level) locationGet directions
Mailing address
21260 N 1450 E
Moroni, UT 84646
Registry dates
- Enumerated
- 2010-10-22
- Last updated
- 2026-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.