Organization
FATHERS & FAMILIES COALITION OF UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK BEDOLLA (EXECUTIVE DIRECTOR)
(801) 792-1057
Entity
Organization
Contact information
Practice address
1234 S MAIN ST, SALT LAKE CITY, UT 84101-3117
(801) 792-1057
Mailing address
PO BOX 27983, SALT LAKE CITY, UT 84127-0983
(801) 792-1057
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
UT
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
UT
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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