Organization
SALT LAKE COUNTY YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE OSBORNE (COUNSELING SERVICES COORDINATOR)
(385) 468-4519
Entity
Organization
Contact information
Practice address
177 W PRICE AVE, SALT LAKE CITY, UT 84115-4345
(385) 468-4500
(385) 468-4461
Mailing address
177 W PRICE AVE, SALT LAKE CITY, UT 84115-4345
(385) 468-4500
(385) 468-4461
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1558665026
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558665026
—
UT
Enumeration date
05/02/2014
Last updated
05/02/2014
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