institution
Confederated Tribes Of The Goshute Reservation
Mental Health Clinic/Center (Including Community Mental Health Center) in Salt Lake City, Utah
NPI 1003275280

Confederated Tribes Of The Goshute Reservation is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Ibapah, UT and is specialized in Mental Health (Including Community Mental Health Center). Confederated Tribes Of The Goshute Reservation practices in Salt Lake City, UT. The NPI Number for Confederated Tribes Of The Goshute Reservation is 1003275280 and holds a License No. 9453799-8906 (Utah).

The current practice location address for Confederated Tribes Of The Goshute Reservation is 660 S 200 E Ste 250, Salt Lake City, UT and can be reached out via phone at 801-359-2256 and via fax at 801-364-4392. You can also correspond with Confederated Tribes Of The Goshute Reservation through the mailing address at HC 61 BOX 6104, IBAPAH, UT - 84034-6003 (mailing address contact number: 801-359-2256).

Location: 660 S 200 E Ste 250, Salt Lake City, UT, 84034-6003
institution
Provider Profile Details
NPI Number
1003275280
Provider Name
Confederated Tribes Of The Goshute Reservation
Credential
Provider Entity Type
Organization
Address
660 S 200 E Ste 250, Salt Lake City, UT, 84034-6003
Phone Number
801-359-2256
Fax Number
801-364-4392
Provider Enumeration Date
02/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
660 S 200 E Ste 250
City
State
Zip
84111-3846
Phone Number
801-359-2256
Fax Number
801-364-4392
person
Provider Business Mailing Address Details
Address
660 S 200 E Ste 250
City
State
Zip
84111-3846
Phone Number
801-359-2256
Fax Number
801-364-4392
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
9453799-8906 (Utah)
Definition
Definition to come...
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