Organization
STARLIGHT PROGRAM
Active
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
Update your record
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