Affinity Guidance Services Inc

Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Provo, UT

NPI 1154772796 · NPPES record last updated Oct 27, 2016

Key facts

NPI
1154772796
Entity type
Organization (NPI type 2)
Primary specialty
Mental Illness Community Based Residential Treatment Facility 320800000X
License
21366 (UT)
Legal business name
AFFINITY GUIDANCE SERVICES INC
Practice address
1971 N State St
Provo, UT 84604-1012
Phone
(435) 830-6945
Fax
(435) 578-0700
NPI assigned
Jun 24, 2016
Organization subpart
No

Authorized official

Name
Bradley J Neufeld
Title
President
Phone
(435) 830-6945

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Affinity Guidance Services Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 21366 UT Yes

Addresses

Primary practice location

1971 N State St
Provo, UT 84604-1012

Mailing address

1971 N State St
Provo, UT 84604-1012
Phone (435) 830-6945

Other providers in Provo, UT

All providers in Provo, UT · Mental Illness Community Based Residential Treatment Facility in Utah

Sources for this page

Verify at the official NPI Registry.