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Organization

UNIVERSITY NEUROPSYCHIATRIC INSTITUE

Active
Other names
Recovery Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
MABEL JENTZSCH LCSW (SOCIAL WORKER)
(801) 236-7110
Entity
Organization

Contact information

Practice address
252 SOUTH 500 EAST, SALT LAKE CITY, UT 84102-2030
(801) 236-7710
Mailing address
252 SOUTH 500 EAST, SALT LAKE CITY, UT 84102-2030
(801) 236-7710

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
UT

Other

Enumeration date
11/05/2012
Last updated
11/05/2012
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