Organization
CHRISTUS ST. JOSEPH VILLA
Active
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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