Organization
SALT LAKE COUNTY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER M CARROON (MAYOR)
(801) 468-2500
Entity
Organization
Contact information
Practice address
8446 HARRISON ST, MIDVALE, UT 84047-3568
(801) 561-0075
(801) 565-1205
Mailing address
8446 HARRISON ST, MIDVALE, UT 84047-3568
(801) 561-0075
(801) 565-1205
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
11700
UT
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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