| Treatment Assessment Screening Center, Inc | |
|
145 E 1300 S Ste 101 Salt Lake City UT 84115-6118 | |
| (801) 203-3761 | |
| (801) 396-2950 |
| Full Name | Treatment Assessment Screening Center, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 145 E 1300 S Ste 101, Salt Lake City, Utah |
| Authorized Official Name and Position | Latrice Hickman (DIRECTOR OF COMMUNITY PROGRAMMING) |
| Authorized Official Contact | 6022547328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treatment Assessment Screening Center, Inc 4016 N Black Canyon Hwy Phoenix AZ 85017-4730 Ph: (602) 254-7328 | Treatment Assessment Screening Center, Inc 145 E 1300 S Ste 101 Salt Lake City UT 84115-6118 Ph: (801) 203-3761 |
| NPI Number | 1083086631 |
|---|---|
| Provider Enumeration Date | 10/22/2015 |
| Last Update Date | 03/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083086631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 28145 (Utah) | Primary |
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