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Organization
UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES
Active
Organization
UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES
Active
Parent organization
UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES
Authorized official
ED CLARK (CHAIR)
(801) 587-6336
Entity
Organization
Contact information
Practice address
555 FOOTHILL DR, SALT LAKE CITY, UT 84112-1106
(801) 581-7790
Mailing address
PO BOX 841450, LOS ANGELES, CA 90084-0001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
10/20/2020
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