# A SAFE PLACE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073877726
- **Authorized official:** RYAN KELLY GRANT (LCSW)
- **Authorized official phone:** (801) 563-5906

## Contact information

- **Practice address:** 11075 S STATE ST STE 30, SANDY, UT 84070-5129
- **Practice address phone:** (801) 793-8774
- **Mailing address:** 7460 GREENWOOD VILLAGE DR, MIDVALE, UT 84047-2260
- **Mailing address phone:** (801) 793-8774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2012
- **Last updated:** 07/19/2012