Organization
ALPHA CENTER SOCIAL WORK COUNSELING & CONSULTATION SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY BLOOMER L.C.S.W. (MANAGER)
(435) 749-9944
Entity
Organization
Contact information
Practice address
375 S CARBON AVE, SUITE 132, PRICE, UT 84501-2909
(435) 749-9944
Mailing address
1289 W 350 N, PRICE, UT 84501-4112
(435) 749-9944
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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