Child And Family Empowerment Services, Llc | |
1578 W 1700 S Ste 200 Salt Lake City UT 84104-3461 | |
(801) 972-2711 | |
Not Available |
Full Name | Child And Family Empowerment Services, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1578 W 1700 S Ste 200, Salt Lake City, Utah |
Authorized Official Name and Position | Jessica Bradley (ASSOC MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 8014737405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Child And Family Empowerment Services, Llc 1578 W 1700 S Ste 200 Salt Lake City UT 84104-3461 Ph: (801) 972-2711 | Child And Family Empowerment Services, Llc 1578 W 1700 S Ste 200 Salt Lake City UT 84104-3461 Ph: (801) 972-2711 |
NPI Number | 1649684903 |
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Provider Enumeration Date | 06/16/2014 |
Last Update Date | 06/16/2014 |
Identifier | Type | State | Issuer |
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1649684903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 90438056009 (Utah) | Primary |
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