MEDICARE: ENGAGE TREATMENT, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1396478244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENGAGE TREATMENT, INC.

Provider Business Mailing Address
First Line	:	2261 MARKET ST STE 5382
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-1612
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	228 S 100 W
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-3222
Country	:	US
Telephone Number	:	435-586-2500
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	NATHAN HOFELING
Credential	:
Telephone Number	:	435-586-2500

Provider Enumeration Date	:	07/07/2022
Last Update Date	:	04/08/2026

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