Organization
PROJECT REALITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL L MILLARD DSW (EXECUTIVE DIRECTOR)
(801) 364-8080
Entity
Organization
Contact information
Practice address
667 S 700 E, SALT LAKE CITY, UT 84102-3441
(801) 364-8080
(801) 364-8098
Mailing address
PO BOX 57098, MURRAY, UT 84157-0098
(801) 364-8080
(801) 364-8098
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/29/2006
Last updated
10/20/2022
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