Organization
CONNECT2KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MALETA ANNE BARELA (EXECUTIVE DIRECTOR/OWNER)
(801) 721-6231
Entity
Organization
Contact information
Practice address
883 W 4100 S, RIVERDALE, UT 84405-2685
(801) 721-6231
Mailing address
883 W 4100 S, RIVERDALE, UT 84405-2685
(801) 721-6231
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
A01958
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790096410
—
UT
01
—
A01958
STATE CONTRACT
UT
Enumeration date
09/26/2013
Last updated
09/26/2013
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