# CBTS

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

## Provider details

- **NPI number:** 1588891790
- **Authorized official:** MS. LORI NADEAU (C.F.O.)
- **Authorized official phone:** (801) 268-4044

## Contact information

- **Practice address:** 220 E 3900 S, SUITE 16, SALT LAKE CITY, UT 84107-1556
- **Practice address phone:** (801) 268-4044
- **Practice address fax:** (801) 263-0926
- **Mailing address:** 220 E 3900 S, SUITE 16, SALT LAKE CITY, UT 84107-1556
- **Mailing address phone:** (801) 268-4044
- **Mailing address fax:** (801) 263-0926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 15302 | UT | Yes |

## Other

- **Enumeration date:** 06/15/2009
- **Last updated:** 06/15/2009