NPI 1639927684
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Practice location
- Address
- 150 S 600 E STE 3a, Salt Lake City, UT 84102-1961
- Phone
- (801) 792-5557
Authorised official
- Name
- Melissa Radcliffe
- Title
- Founder
- Phone
- (801) 792-5557
Registered specialties (14)
Mental Illness Community Based Residential Treatment Facility
Primary
Mental Health Counselor
Addiction (Substance Use Disorder) Psychologist
Clinical Social Worker
Behavior Technician
Dietary Manager
Adult Psychiatric/Mental Health Registered Nurse
Case Manager/Care Coordinator
Music Therapist
Mental Health Clinic/Center (Including Community Mental Health Center)
Substance Use Disorder Rehabilitation Clinic/Center
Medical Physician Assistant
Family Nurse Practitioner
Psychiatric/Mental Health Nurse Practitioner
Registry record
- NPI
- 1639927684
- Entity type
- Organization
- NPI issued
- 7 May 2024
- Record last updated
- 7 May 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.