Menu
1-866-755-6713

Cocaine Addiction Treatment Request

Name
Phone
Email
City
State
Seeking Help For:
What Is The Age Of Individual Needing Cocaine Treatment?
Has The Individual Received Cocaine Addiction Treatment Or Attended A Cocaine Rehab Before?Yes No
General Situation:
Preferred Contact Method?Phone Email
  • Utah State Hospital
    Utah State Hospital is a Drug and Alcohol Recovery Program that is located at:

    1300 East Center Street
    Provo, UT. 84606

    If you would like to contact Utah State Hospital, you can reach them at 801-344-4400.

    Utah State Hospital offers the following treatment services: Hospital Inpatient, Persons With Co-Occurring Mental And Substance Abuse Disorders, Criminal Justice Clients, Asl Or Other Assistance For Hearing Impaired, Spanish
    Payment forms accepted: Self Payment, Private Health Insurance
1-866-755-6713