Organization
SAINT ANTHONY HOUSE TREATMENT PROGRAMS
Active
Other names
The Utah House
Organization subpart
No
Provider details
NPI number
Authorized official
ALYCIA ERIKA JURGELA LPC (CEO)
(801) 678-3317
Entity
Organization
Contact information
Practice address
331 W 2700 S, SOUTH SALT LAKE, UT 84115-2904
(801) 678-3317
Mailing address
331 W 2700 S, SOUTH SALT LAKE, UT 84115-2904
(801) 678-3317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
20772
UT
251S00000X
Community/Behavioral Health Agency
Primary
85193680160
UT
251S00000X
Community/Behavioral Health Agency
LIC201300573
UT
Other
Enumeration date
07/31/2013
Last updated
01/04/2025
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