OrganizationActive
Adolescent Center for Talent Development
NPI 1821309238 · Adolescent and Children Mental Health Clinic/Center · Provo, UT
Provider details
- NPI number
- 1821309238
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jeremy Jenson, Business Director/Owner
Mailing address
633 S 550 E
Provo, UT 84606-5556
Registry dates
- Enumerated
- 2010-06-30
- Last updated
- 2010-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.