Organization
SALT LAKE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN ANN SHORT NP (NP)
(801) 264-6000
Entity
Organization
Contact information
Practice address
3802 S 700 E, SALT LAKE CITY, UT 84106-1182
(801) 264-6000
(801) 264-6070
Mailing address
3802 S 700 E, SALT LAKE CITY, UT 84106-1182
(801) 264-6000
(801) 264-6070
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
225374-4405
UT
Other
Enumeration date
07/18/2012
Last updated
08/21/2012
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