Organization
FOUNDATION FOR FAMILY LIFE
Active
Other names
Family Life Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WHITE PH.D. (EXECUTIVE DIRECTOR)
(801) 750-5398
Entity
Organization
Contact information
Practice address
11978 S REDWOOD RD, RIVERTON, UT 84065-7403
(801) 750-5398
Mailing address
1875 W 12600 S # 230, RIVERTON, UT 84065-7044
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88539717
—
UT
Enumeration date
11/23/2015
Last updated
12/20/2019
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