NPI 1285195446
Red Mesa Housing Case Management
Practice location
- Address
- 580 S 500 W, Salt Lake City, UT 84101-2209
- Phone
- (801) 746-6852
- Fax
- (801) 746-7687
- Mailing address
- 120 W 1300 S, Salt Lake City, UT 84115-5230
Authorised official
- Name
- Paul S Flack
- Title
- Acting Executive Director
- Phone
- (801) 214-7681
Registered specialties (3)
Case Management Agency
Primary
Mental Health Counselor
Federally Qualified Health Center (FQHC)
Registry record
- NPI
- 1285195446
- Entity type
- Organization
- NPI issued
- 28 Mar 2019
- Record last updated
- 28 Mar 2019
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.