Organization
KIDS WHO COUNT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH PETERSEN RPT (DIRECTOR)
(801) 423-3000
Entity
Organization
Contact information
Practice address
345 N SR 198, SALEM, UT 84653
(801) 423-3000
Mailing address
PO BOX 1039, 345 N SR 198, SALEM, UT 84653
(801) 423-3000
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876000545578
—
UT
Enumeration date
08/11/2006
Last updated
08/22/2020
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