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Organization

UTAH ALCOHOLISM FOUNDATION

Active
Other names
Serenity House
Organization subpart
No

Provider details

NPI number
Authorized official
MARIAN EGBERT (ACCOUNTING SUPERVISOR)
(801) 487-3276
Entity
Organization

Contact information

Practice address
529 25TH ST, OGDEN, UT 84401-2406
(801) 392-5971
Mailing address
857 E 200 S, SALT LAKE CITY, UT 84102-2317
(801) 487-3276

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
13455
UT

Other

Enumeration date
01/10/2008
Last updated
01/10/2008
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