Organization
VALLEY MENTAL HEALTH INCORPORATED
Active
Other names
SRS PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA LYNN S FALVO MHCA/RN (EXECUTIVE DIRECTOR)
(801) 263-7100
Entity
Organization
Contact information
Practice address
2472 S 300 E, SALT LAKE CITY, UT 84115-2895
(801) 415-7591
(801) 415-7533
Mailing address
5965 S 900 E, SUITE 420, SALT LAKE CITY, UT 84121-1720
(801) 263-7100
(801) 263-7123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
UT
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
UT
164W00000X
Licensed Practical Nurse
—
UT
2084P0800X
Psychiatry Physician
Primary
—
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
UT
Other
Enumeration date
04/21/2006
Last updated
08/25/2011
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