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ADOLESCENT CHILD AND FAMILY THERAPY CLINIC INC NPI 1083732051


NPI Information

NPI: 1083732051
Provider Name: ADOLESCENT, CHILD AND FAMILY THERAPY CLINIC, INC
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
370 E SOUTH TEMPLE
STE 550
SALT LAKE CITY, UT
ZIP 84111
Phone: (801) 652-4937
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ADOLESCENT, CHILD AND FAMILY THERAPY CLINIC, INC is a psychiatric/mental health clinical nurse specialist in Salt Lake City, UT. ADOLESCENT, CHILD AND FAMILY THERAPY CLINIC, INC NPI is 1083732051. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

370 E SOUTH TEMPLE
STE 550
SALT LAKE CITY, UT
ZIP 84111-206
Phone: (801) 652-4937

The provider's authorized official is Rose B. Olds .
The authorized official title is President and has the following contact phone number (801) 652-4937.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364SP0808XClinical Nurse SpecialistPsychiatric/Mental Health2152474405UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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