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Organization

STARLIGHT PROGRAM

Active
Parent organization
PERFETTO CLINICAL CONTRACTING INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
PERFETTO CLINICAL CONTRACTING INC.
Authorized official
WILLIAM JOSEPH PERFETTO LCSW (DIRECTOR)
(801) 747-3556
Entity
Organization

Contact information

Practice address
345 E 4500 S, #260, MURRAY, UT 84107-3991
(801) 747-3556
(801) 747-2086
Mailing address
345 E 4500 S, #260, MURRAY, UT 84107-3991
(801) 747-3556
(801) 747-2086

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
4215
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1497071419
UT
Enumeration date
04/21/2014
Last updated
04/21/2014
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