Organization
CENTER FOR HUMAN POTENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVEZ MCGILL (CFO)
(801) 483-2447
Entity
Organization
Contact information
Practice address
265 E 100 S STE 250, SALT LAKE CITY, UT 84111-1643
(801) 483-2447
(801) 486-8705
Mailing address
265 E 100 S STE 250, SALT LAKE CITY, UT 84111-1643
(801) 483-2447
(801) 486-8705
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3643443501
UT
Other
Enumeration date
06/16/2009
Last updated
01/14/2020
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