Provider Demographics
NPI:1023219383
Name:BENCHMARK BEHAVIORAL HEALTH SYSTEMS
Entity Type:Organization
Organization Name:BENCHMARK BEHAVIORAL HEALTH SYSTEMS
Other - Org Name:BRIARWOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OFFICE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-299-5353
Mailing Address - Street 1:592 W 1350 S
Mailing Address - Street 2:
Mailing Address - City:WOODS CROSS
Mailing Address - State:UT
Mailing Address - Zip Code:84010-8180
Mailing Address - Country:US
Mailing Address - Phone:801-299-5353
Mailing Address - Fax:801-299-5325
Practice Address - Street 1:5105 SMOKE RANCH RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-3536
Practice Address - Country:US
Practice Address - Phone:702-638-0395
Practice Address - Fax:702-638-0362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty