Organization
CHRISTUS ST. JOSEPH VILLA
Active
Other names
Christus Marian Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SIMONE JASMIN HENNIG LCSW (LCSW)
(801) 468-6856
Entity
Organization
Contact information
Practice address
451 BISHOP FEDERAL LN, SALT LAKE CITY, UT 84115-2357
(801) 487-7557
(801) 487-1112
Mailing address
451 BISHOP FEDERAL LN, SALT LAKE CITY, UT 84115-2357
(801) 487-7557
(801) 487-1112
Taxonomy
Speciality
Code
Description
License number
State
282J00000X
Religious Nonmedical Health Care Institution
Primary
—
UT
Other
Enumeration date
06/13/2007
Last updated
08/22/2020
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