Primary Children's Center For Counseling | |
5770 S 1500 W #g Salt Lake City UT 84123-5216 | |
(801) 265-3000 | |
(801) 265-3025 |
Full Name | Primary Children's Center For Counseling |
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Speciality | Community/behavioral Health |
Location | 5770 S 1500 W, Salt Lake City, Utah |
Authorized Official Name and Position | Dorann Mitchell (DIRECTOR, PCCC) |
Authorized Official Contact | 8012653000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Primary Children's Center For Counseling 5770 S 1500 W #g Salt Lake City UT 84123-5216 Ph: (801) 265-3000 | Primary Children's Center For Counseling 5770 S 1500 W #g Salt Lake City UT 84123-5216 Ph: (801) 265-3000 |
NPI Number | 1467601492 |
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Provider Enumeration Date | 09/15/2008 |
Last Update Date | 09/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467601492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 380804-3501 (Utah) | Primary |
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