Organization
JOURNEY COUNSELING CENTER SALT LAKE LLC
Active
Organization
JOURNEY COUNSELING CENTER SALT LAKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADOLYN LIEBING (QUALITY ASSURANCE DIRECTOR)
(801) 361-4070
Entity
Organization
Contact information
Practice address
920 COLUMBIA LN, PROVO, UT 84604-1320
(801) 375-4240
(801) 375-4241
Mailing address
PO BOX 50178, PROVO, UT 84605-0178
(801) 375-4240
(801) 375-4241
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
20848
UT
Other
Enumeration date
01/17/2014
Last updated
03/29/2017
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