| Hmhi Downtown Outpatient Clinic - Child | |
|
525 E 100 S Suite 500 Salt Lake City UT 84102-4210 | |
| (801) 587-6336 | |
| Not Available |
| Full Name | Hmhi Downtown Outpatient Clinic - Child |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 525 E 100 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Samuel Finlayson (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 8015876336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hmhi Downtown Outpatient Clinic - Child Po Box 841450 Los Angeles CA 90084-1450 Ph: (801) 213-3900 | Hmhi Downtown Outpatient Clinic - Child 525 E 100 S Suite 500 Salt Lake City UT 84102-4210 Ph: (801) 587-6336 |
| NPI Number | 1477915379 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 02/01/2021 |
| Certification Date | 02/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477915379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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