Organization
RED WILLOW IOP, PLLC
Active
Parent organization
RED WILLOW COUNSELING AND RECOVERY PC
Other names
Red Willow Counseling and Recovery
Organization subpart
Yes
Provider details
NPI number
Legal business name
RED WILLOW COUNSELING AND RECOVERY PC
Authorized official
JAMES OTT LCSW (EXECUTIVE DIRECTOR)
(801) 556-6007
Entity
Organization
Contact information
Practice address
1425 S 700 E STE 102, SALT LAKE CITY, UT 84105-2125
(385) 313-0055
Mailing address
1425 S 700 E STE 102, SALT LAKE CITY, UT 84105-2125
(385) 313-0055
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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