Organization
INSTITUTE OF CHANGE INC
Active
Organization
INSTITUTE OF CHANGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK C ROBERTS L.S.A.C. (PRESIDENT)
(801) 487-0487
Entity
Organization
Contact information
Practice address
1174 E 2760 S, SALT LAKE CITY, UT 84106-2673
(801) 487-0487
Mailing address
1174 E 2760 S, SALT LAKE CITY, UT 84106-2671
(801) 487-0487
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
11540
UT
Other
Enumeration date
05/13/2006
Last updated
08/22/2020
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