OrganizationActive
Bonneville Mental Health, PLLC
NPI 1902236458 · Substance Use Disorder Rehabilitation Clinic/Center · Tooele, UT
Provider details
- NPI number
- 1902236458
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nate Green, Director of Operations(435) 228-4181
- License
- 2903 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
134 W 1180 N Ste 4
Tooele, UT 84074-1483
Phone: (435) 228-4181
Approximate (ZIP-level) locationGet directions
Mailing address
134 W 1180 N Ste 4
Tooele, UT 84074-1483
Registry dates
- Enumerated
- 2013-11-20
- Last updated
- 2016-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.