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Organization
CBTS
Active
Organization
CBTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI NADEAU (C.F.O.)
(801) 268-4044
Entity
Organization
Contact information
Practice address
220 E 3900 S, SUITE 16, SALT LAKE CITY, UT 84107-1556
(801) 268-4044
(801) 263-0926
Mailing address
220 E 3900 S, SUITE 16, SALT LAKE CITY, UT 84107-1556
(801) 268-4044
(801) 263-0926
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
15302
UT
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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