Organization
RED WILLOW COUNSELING AND RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K OTT LCSW (EXECUTIVE DIRECTOR)
(801) 556-6007
Entity
Organization
Contact information
Practice address
515 S 700 E STE 3D, SALT LAKE CITY, UT 84102-2801
(801) 556-6007
Mailing address
515 S 700 E STE 3D, SALT LAKE CITY, UT 84102-2801
(801) 556-6007
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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