Organization
SALT LAKE COUNTY DIVISION OF YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COX C.S.W (CRISIS THERAPIST)
(385) 468-4500
Entity
Organization
Contact information
Practice address
177 W PRICE AVE, SALT LAKE CITY, UT 84115-4345
(385) 468-4500
Mailing address
177 W PRICE AVE, SALT LAKE CITY, UT 84115-4345
(385) 468-4500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
81824333502
UT
Other
Enumeration date
12/10/2014
Last updated
12/12/2014
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