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Organization · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Salt Lake City, UT

NPI
1063882710
Type
Organization (Type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities)
Specialty group
Residential Treatment Facilities
Taxonomy code
320900000X
License number
2015-NCF-22 (UT)
Enumerated
2015-10-06
Last updated
2015-10-06
Practice location
645 S 1300 E
Salt Lake City, UT 84102
(801) 582-1457

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