Organization
ALTERNATIVE CHOICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRY JANE BATES LCSW (PRESIDENT)
(435) 496-0248
Entity
Organization
Contact information
Practice address
134 W 1180 N STE 4, TOOELE, UT 84074-1483
(435) 496-0248
Mailing address
134 W 1180 N STE 4, TOOELE, UT 84074-1483
(435) 496-0248
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3619983501
UT
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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