CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION NPI 1194189233

NPI Information

CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION is a mental health (including community mental health center) clinic center in Salt Lake City, UT. CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION NPI is 1194189233. The provider is registered as an organization entity type.

The provider's business location address is:

660 S 200 E
SUITE 250
SALT LAKE CITY, UT
ZIP 84111-835
Phone: (801) 359-2256
Fax: (801) 364-7392

The provider's authorized official is Crystal Contreras .
The authorized official title is Billing and has the following contact phone number (801) 359-2256.

The enumeration date for this NPI number is 4/5/2016 and was last updated on 12/26/2017.

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:

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