Organization
SAINT ANTHONY'S TREATMENT HOUSE LLC
Active
Other names
The Utah House
Organization subpart
No
Provider details
NPI number
Authorized official
ALYCIA JURGELA LPC (CEO)
(801) 678-3317
Entity
Organization
Contact information
Practice address
1370 S WEST TEMPLE, SALT LAKE CITY, UT 84115-5218
(801) 678-3317
(385) 229-4324
Mailing address
1370 S WEST TEMPLE, SALT LAKE CITY, UT 84115-5218
(801) 678-3317
(385) 229-4324
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
20825
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477985516
—
UT
Enumeration date
09/27/2013
Last updated
09/27/2013
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