Organization
RILEY INDIVIDUAL, FAMILY, AND MARRIAGE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M. BIRD (OFFICE MANAGER)
(801) 657-0163
Entity
Organization
Contact information
Practice address
406 W SOUTH JORDAN PKWY, SUITE 220B, SOUTH JORDAN, UT 84095-3965
(801) 657-0163
(801) 568-7856
Mailing address
PO BOX 708458, SANDY, UT 84070-8458
(801) 657-0163
(801) 568-7856
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4788890-3501
UT
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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