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Organization

CBTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LORI NADEAU (C.F.O.)
(801) 268-4044
Entity
Organization

Contact information

Practice address
220 E 3900 S, SUITE 16, SALT LAKE CITY, UT 84107-1556
(801) 268-4044
(801) 263-0926
Mailing address
220 E 3900 S, SUITE 16, SALT LAKE CITY, UT 84107-1556
(801) 268-4044
(801) 263-0926

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
15302
UT

Other

Enumeration date
06/15/2009
Last updated
06/15/2009
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