Organization
UTAH HARM REDUCTION COALITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELYNDA VINCENT MSW, LCSW, MPA (EXECUTIVE DIRECTOR)
(801) 604-5342
Entity
Organization
Contact information
Practice address
91 E 7200 S, MIDVALE, UT 84047-1531
(801) 569-1995
Mailing address
601 E VALLEY DR, HEBER CITY, UT 84032-1055
(801) 604-5342
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922389543
—
UT
Enumeration date
08/16/2018
Last updated
08/16/2018
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