Organization
KT&T, INC.
Active
Organization
KT&T, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERALD JEFFERIES LCSW (CEO)
(801) 928-8567
Entity
Organization
Contact information
Practice address
1140 36TH ST STE 285, OGDEN, UT 84403-2064
(801) 897-8009
Mailing address
PO BOX 3986, SALT LAKE CITY, UT 84110-3986
(801) 897-8009
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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