Organization
ASIAN ASSOCIATION OF UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRETT BONELLA (CLINICAL SUPERVISOR)
(801) 467-6060
Entity
Organization
Contact information
Practice address
1588 MAJOR ST, SALT LAKE CITY, UT 84115-1631
(801) 467-6060
Mailing address
1588 MAJOR ST, SALT LAKE CITY, UT 84115-1631
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
16713
UT
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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