Organization
CHILDREN'S SERVICE SOCIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ENCARNI GALLARDO MBA (EXECUTIVE DIRECTOR)
(801) 326-4380
Entity
Organization
Contact information
Practice address
655 E 4500 S STE 200, SALT LAKE CITY, UT 84107-2969
(801) 326-4380
(801) 355-7453
Mailing address
655 E 4500 S STE 200, SALT LAKE CITY, UT 84107-2969
(801) 326-4380
(801) 355-7453
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
27689
UT
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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