Organization
UTE TRIBE ALCOHOL/SUBSTANCE ABUSE PREVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY GUZMAN LCSW (PROGRAM DIRECTOR)
(435) 722-3234
Entity
Organization
Contact information
Practice address
550 SOUTH 6777 EAST, FORT DUCHESNE, UT 84026
(435) 722-3234
Mailing address
550 SOUTH 6777 EAST, P.O.BOX 369, FORT DUCHESNE, UT 84026
(435) 722-3234
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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