NPI 1003997701

Assessment, Counseling & Educational Services

Organisation Substance Use Disorder Rehabilitation Clinic/Center Salt Lake City, UT

Practice location

Address: 547 W 3900 S STE F, Salt Lake City, UT 84123-7134
Phone: (801) 265-8000
Fax: (801) 265-8004

Authorised official

Name: Marie Jess
Title: Director
Phone: (801) 265-8000

Registered specialties

Substance Use Disorder Rehabilitation Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence NP1705 (UT)

Other Clinic/Center providers in Utah →

Registry record

NPI: 1003997701
Entity type: Organization
NPI issued: 18 Oct 2006
Record last updated: 21 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.