Organization
VALLEY MENTAL HEALTH INCORPORATED
Active
Other names
VMH - PHEASANT HOLLOW
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY G LARCENAIRE (CHIEF EXECUTIVE OFFICER)
(801) 263-7186
Entity
Organization
Contact information
Practice address
4125 S 900 E, SALT LAKE CITY, UT 84124-1112
(801) 743-6111
Mailing address
PO BOX 572070, SALT LAKE CITY, UT 84157-2070
(801) 263-7138
(801) 263-7203
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
12009
UT
Other
Enumeration date
12/15/2006
Last updated
01/21/2021
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