| Children's Service Society | |
|
655 E 4500 S Ste 200 Salt Lake City UT 84107-2969 | |
| (801) 326-4380 | |
| (801) 355-7453 |
| Full Name | Children's Service Society |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 655 E 4500 S Ste 200, Salt Lake City, Utah |
| Authorized Official Name and Position | Encarni Gallardo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8013264380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Service Society 655 E 4500 S Ste 200 Salt Lake City UT 84107-2969 Ph: (801) 326-4380 | Children's Service Society 655 E 4500 S Ste 200 Salt Lake City UT 84107-2969 Ph: (801) 326-4380 |
| NPI Number | 1801344726 |
|---|---|
| Provider Enumeration Date | 09/20/2016 |
| Last Update Date | 09/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801344726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 27689 (Utah) | Primary |
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