| Alpine Center For Personal Growth | |
|
5689 S Redwood Rd Suite 30 Salt Lake City UT 84123-5447 | |
| (801) 268-1715 | |
| (801) 268-1783 |
| Full Name | Alpine Center For Personal Growth |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 5689 S Redwood Rd, Salt Lake City, Utah |
| Authorized Official Name and Position | Heather Child (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8012681715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Center For Personal Growth 5689 S Redwood Rd Suite 30 Salt Lake City UT 84123-5447 Ph: (801) 268-1715 | Alpine Center For Personal Growth 5689 S Redwood Rd Suite 30 Salt Lake City UT 84123-5447 Ph: (801) 268-1715 |
| NPI Number | 1023461415 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 07/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023461415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 27567 (Utah) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 27867 (Utah) | Primary |
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