Organization
ALPINE CENTER FOR PERSONAL GROWTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MICHELLE CHILD (DIRECTOR OF OPERATIONS)
(801) 268-1715
Entity
Organization
Contact information
Practice address
5689 S REDWOOD RD # 30, SALT LAKE CITY, UT 84123-5322
(801) 268-1715
(801) 268-1783
Mailing address
5689 S REDWOOD RD # 30, SALT LAKE CITY, UT 84123-5322
(801) 268-1715
(801) 268-1783
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
04/28/2016
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