Organization
BIG BROTHERS BIG SISTERS OF UTHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA J SANDERS MS (PRESIDENT / CEO)
(801) 313-0303
Entity
Organization
Contact information
Practice address
151 E 5600 S, SUITE NUMBER 200, MURRAY, UT 84107-6181
(801) 313-0303
(801) 313-0286
Mailing address
151 E 5600 S, SUITE NUMBER 200, MURRAY, UT 84107-6181
(801) 313-0303
(801) 313-0286
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
08/22/2020
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