Salt Lake County For Its Youth Services Division | |
177 West Price Ave South Salt Lake City UT 84115-4345 | |
(801) 269-7500 | |
(801) 269-7550 |
Full Name | Salt Lake County For Its Youth Services Division |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 177 West Price Ave, South Salt Lake City, Utah |
Authorized Official Name and Position | Carolyn Hansen (DIVISION DIRECTOR) |
Authorized Official Contact | 3854684501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Salt Lake County For Its Youth Services Division 2001 South State Street Suite N4100 Salt Lake City UT 84190-1021 Ph: (801) 468-2332 | Salt Lake County For Its Youth Services Division 177 West Price Ave South Salt Lake City UT 84115-4345 Ph: (801) 269-7500 |
NPI Number | 1912125337 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 05/08/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912125337 | NPI | - | NPPES |
HT0004001 | Medicaid | UT | |
HT002258 | Other | UT | UTAH HEALTH |
Salt Lake County Youth Services Division Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 177 West Price Ave, South Salt Lake City, UT 84115 Phone: 801-269-7500 Fax: 801-269-7547 |