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Organization
UNI HOME PROJECT PSYCHIATRIC
Active
Organization
UNI HOME PROJECT PSYCHIATRIC
Active
Other names
Neurobehavior HOME Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOSETTE DORIUS RN, MPH (SERVICE DIRECTOR)
(801) 587-3108
Entity
Organization
Contact information
Practice address
650 KOMAS DRIVE, STE. #200, SALT LAKE CITY, UT 84108
(801) 585-1933
(801) 581-8979
Mailing address
PO BOX 413076, SALT LAKE CITY, UT 84141-3076
(801) 239-3900
(801) 587-6459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/16/2006
Last updated
02/07/2012
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