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ALPINE CENTER FOR PERSONAL GROWTH NPI 1720295074


NPI Information

NPI: 1720295074
Provider Name: ALPINE CENTER FOR PERSONAL GROWTH
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
5689 S REDWOOD RD # 30
SALT LAKE CITY, UT
ZIP 84123
Phone: (801) 268-1715
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ALPINE CENTER FOR PERSONAL GROWTH is a rehabilitation and substance use disorder clinic center in Salt Lake City, UT. ALPINE CENTER FOR PERSONAL GROWTH NPI is 1720295074. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5689 S REDWOOD RD # 30
SALT LAKE CITY, UT
ZIP 84123-322
Phone: (801) 268-1715
Fax: (801) 268-1783

The provider's authorized official is Heather Michelle Child .
The authorized official title is Director Of Operations and has the following contact phone number (801) 268-1715.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 4/28/2016.


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
11041C0700XSocial WorkerClinicalNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4261QM0850XClinic/CenterAdult Mental HealthNo
5261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERUTAHTIN

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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