Adolescent, Child And Family Therapy Clinic, Inc

NPI 1083732051 - Clinical Nurse Specialist - 364SP0808X

NPI Details
NPI 1083732051
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROSE B. ROSE
Position PRESIDENT
Phone (801) 652-4937
Fax
Practice Location
370 E SOUTH TEMPLE
STE 550
SALT LAKE CITY UT, 84111-1206, US
Phone (801) 652-4937
Fax
Business Location
515 S 700 E
STE 3A
SALT LAKE CITY UT, 84102-2873, US
Phone (801) 652-4937
Fax
Toxanomy
Taxonomy Code 364SP0808X
License State Utah
License Number 2152474405
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According to our database, Adolescent, Child And Family Therapy Clinic, Inc NPI is 1083732051, taxonomy code is 364SP0808X and license number is 2152474405, license state is located at Utah. Adolescent, Child And Family Therapy Clinic, Inc physically located at 370 E South Temple, Salt Lake City UT, 84111-1206. NPI Number 1033115704 has the healthcare provider type.

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1083732051 NPI number is provided on an as is basis without warranty of any kind. 1083732051 is maintained by the National Plan & Provider Enumeration System. The contents of Adolescent, Child And Family Therapy Clinic, Inc are for informational purposes only.