Organization
VALLEY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE HANSEN (RN)
(801) 743-1715
Entity
Organization
Contact information
Practice address
3944 S 400 E, SALT LAKE CITY, UT 84107-1600
(801) 743-1715
Mailing address
3944 SOUTH 400 EAST, SALT LAKE CITY, UT 84107
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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