Healthcare Provider Details

I. General information

NPI: 1275913287
Provider Name (Legal Business Name): FORTE STRONG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2015
Last Update Date: 06/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 E TABERNACLE ST STE 301
ST GEORGE UT
84770-2995
US

IV. Provider business mailing address

249 E TABERNACLE ST STE 301
ST GEORGE UT
84770-2995
US

V. Phone/Fax

Practice location:
  • Phone: 435-319-0004
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number13927
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number12145
License Number StateUT

VIII. Authorized Official

Name: MR. MATTHEW ARRINGTON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 435-319-0004