Organization
UNI HOME PROJECT PSYCHIATRIC
Active
Other names
Neurobehavior HOME Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOSETTE DORIUS RN, MPH (SERVICE DIRECTOR)
(801) 587-3108
Entity
Organization
Contact information
Practice address
650 KOMAS DRIVE, STE. #200, SALT LAKE CITY, UT 84108
(801) 585-1933
(801) 581-8979
Mailing address
PO BOX 413076, SALT LAKE CITY, UT 84141-3076
(801) 239-3900
(801) 587-6459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/16/2006
Last updated
02/07/2012
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