# UNI HOME PROJECT PSYCHIATRIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Neurobehavior HOME Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063456143
- **Authorized official:** MRS. JOSETTE DORIUS RN, MPH (SERVICE DIRECTOR)
- **Authorized official phone:** (801) 587-3108

## Contact information

- **Practice address:** 650 KOMAS DRIVE, STE. \#200, SALT LAKE CITY, UT 84108
- **Practice address phone:** (801) 585-1933
- **Practice address fax:** (801) 581-8979
- **Mailing address:** PO BOX 413076, SALT LAKE CITY, UT 84141-3076
- **Mailing address phone:** (801) 239-3900
- **Mailing address fax:** (801) 587-6459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 02/07/2012
