PRIMARY CHILDRENS MEDICAL CENTER is a substance abuse treatment and children substance abuse rehabilitation facility in Salt Lake City, UT. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. PRIMARY CHILDRENS MEDICAL CENTER NPI is 1457697369. The provider is registered as an organization entity type.
The provider's business location address is:
5770 SOUTH 1500 WEST
BUILDING A
SALT LAKE CITY, UT
ZIP 84123
Phone: (801) 313-7800
The provider's authorized official is William Thomas Kushner .
The authorized official title is Substance Abuse Counselor and has the following contact phone number (801) 313-7858.
The enumeration date for this NPI number is 12/20/2012 and was last updated on 12/20/2012.