Organization
RHA HEALTH SERVICE UT LLC
Active
Other names
East Side Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE L CHRISTENSEN (DIRECTOR OF OPERATIONS)
(801) 763-9299
Entity
Organization
Contact information
Practice address
650 S UNIVERSITY ST, SALT LAKE CITY, UT 84102-3213
(801) 582-2195
(801) 582-3901
Mailing address
642 S UNIVERSITY ST, SALT LAKE CITY, UT 84102-3213
(801) 582-2195
(801) 582-3901
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
2015SHCF-22
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015-SHVF-158
—
UT
01
—
46D0977163
CLIA
UT
Enumeration date
09/23/2015
Last updated
09/25/2015
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