SALT LAKE COUNTY FOR ITS YOUTH SERVICES DIVISION

NPI # 

Practice Address:

177 West Price Ave

South Salt Lake City, UT, 84115-4345

Practice Phone:

801-269-7500

Practice Fax:

801-269-7550

License Number:

47632166004

License State:

UT

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Counselor

Taxonomy Specialization:

Addiction (Substance Use Disorder)

Taxonomy Code:

101YA0400X