IndividualActive
Bryant Davis
NPI 1932460102 · Substance Abuse Rehabilitation Facility · Moroni, UT
Provider details
- NPI number
- 1932460102
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 272503815 (UT)
Mailing address
P.o. Box 461
Moroni, UT 84646
Registry dates
- Enumerated
- 2012-06-05
- Last updated
- 2012-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.