Provider Demographics
NPI:1639760705
Name:BUILDING BEGINNINGS
Entity Type:Organization
Organization Name:BUILDING BEGINNINGS
Other - Org Name:BUILDING BEGINNINGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MADALYN
Authorized Official - Middle Name:KENER
Authorized Official - Last Name:WEIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-240-7178
Mailing Address - Street 1:42 E 300 N
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-1859
Mailing Address - Country:US
Mailing Address - Phone:801-896-1961
Mailing Address - Fax:
Practice Address - Street 1:42 E 300 N
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-1859
Practice Address - Country:US
Practice Address - Phone:801-896-1961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT60522OtherSTATE LICENSE