Primary Childrens Medical Center, NPI 1457697369
Children's Substance Abuse Rehabilitation Facility in Salt Lake City, UT, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1457697369 |
| NPI Entity Type | Organization |
| Provider Name | Primary Childrens Medical Center |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 5770 South 1500 West, Building A, Salt Lake City, UT, US |
| Provider Mailing Address | 5770 South 1500 West, Building A, Salt Lake City, UT, US, 84123 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. SUDC William Thomas Kushner |
| Official Position | SUBSTANCE ABUSE COUNSELOR |
| Phone | 801-313-7858 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Children's Substance Abuse Rehabilitation Facility |
| Classification | |
| Group | |
| License No. | 2743846006 |
| License State | UT |
| Description | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
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Gracie Gillman Individual |
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Auriane Davis Individual |
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Candice Yeaman Individual |
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Stephen Gordon Anderson Individual |
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PA Adam Christopher Garrett Individual |
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Cole Mayoros Individual |
249 E Tabernacle St Ste 100 |
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Alayna Hill Individual |
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APRN Trisha Sears Individual |
4563 W Frary Rd |
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Empower You Therapy Organization |
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12485 S 900 E |
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Damaris Villalobos Individual |
249 E Tabernacle St Ste 100 |
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Dylan Smart Individual |
8031 S 700 E |
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Alexis Suzanne Goodwin Individual |
2025 S 50 W |
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