Organization
THE COVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERA E CHRISTENSEN LCSW (DIRECTOR)
(801) 774-8675
Entity
Organization
Contact information
Practice address
1105 S STATE ST, CLEARFIELD, UT 84015-1818
(801) 774-8675
(801) 416-0862
Mailing address
PO BOX 160276, CLEARFIELD, UT 84016-0276
(801) 774-8675
(801) 416-0862
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1351643501
UT
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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