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Organization

ALPINE CENTER FOR PERSONAL GROWTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER CHILD (DIRECTOR OF OPERATIONS)
(801) 268-1715
Entity
Organization

Contact information

Practice address
5689 S REDWOOD RD, SUITE 30, SALT LAKE CITY, UT 84123-5447
(801) 268-1715
(801) 268-1783
Mailing address
5689 S REDWOOD RD, SUITE 30, SALT LAKE CITY, UT 84123-5447
(801) 268-1715
(801) 268-1783

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
27567
UT
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
27867
UT

Other

Enumeration date
07/20/2016
Last updated
07/20/2016
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