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Organization
VALLEY MENTAL HEALTH INCORPORATED
Active
Organization
VALLEY MENTAL HEALTH INCORPORATED
Active
Other names
VMH - MASTERS PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA FALVO MHCA/RN (EXECUTIVE DIRECTOR)
(801) 263-7100
Entity
Organization
Contact information
Practice address
4460 HIGHLAND DR, SUITE 100, SALT LAKE CITY, UT 84124-3543
(801) 273-1085
(801) 273-4097
Mailing address
5965 S 900 E, SUITE 420, SALT LAKE CITY, UT 84121-1720
(801) 263-7100
(801) 263-7123
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
UT
1041C0700X
Clinical Social Worker
—
UT
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
UT
2084P0805X
Geriatric Psychiatry Physician
Primary
—
UT
363LG0600X
Gerontology Nurse Practitioner
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2423
PEHP
UT
Enumeration date
04/24/2006
Last updated
08/25/2011
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