Organization
UNIVERSITY OF UTAH
Active
Other names
Mobile Crisis Outreach Team
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A. WORKMAN (CERTIFIED PEER SPECIALIST)
(801) 839-5311
Entity
Organization
Contact information
Practice address
501 E CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-3000
Mailing address
501 E CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-3000
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900064074
UNIVERSITY HEALTH CARE ADVANTAGE PLAN
UT
Enumeration date
07/06/2012
Last updated
07/06/2012
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