Intermountain Specialized Abuse Treatment Center (Isat) in West Valley City - Mental Health

Intermountain Specialized Abuse Treatment Center (Isat) - NPI 1215999503

Intermountain Specialized Abuse Treatment Center (Isat) is a Mental Health in West Valley City, Utah. Intermountain Specialized Abuse Treatment Center (Isat) practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Intermountain Specialized Abuse Treatment Center (Isat) is 1215999503. The last update date is 2016-08-20.

Intermountain Specialized Abuse Treatment Center (Isat)'s current location address is 1555 West 2200 South, West Valley City, Utah. You can contact this provider via phone number 8018868900 and fax number 8018868898. The mailing address for Intermountain Specialized Abuse Treatment Center (Isat) is 1555 West 2200 South, West Valley City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Intermountain Specialized Abuse Treatment Center (Isat)
Address 1555 West 2200 South, West Valley City, Utah
Phone Number 8018868900
Fax Number 8018868898
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CO-EXECUTI
Authorized Official Name Valcarce Becky
Credentials LCMHC
Telephone Number 8018868900

NPI Number Detail

NPI Number 1215999503
Provider Enumeration Date 2006-04-04
Last Updated Date 2016-08-20

Provider Mailing Address Detail

Address 1555 West 2200 South
City West Valley City
State Utah (UT)
Post Code 841191486
Phone Number 8018868900
Fax Number 8018868898

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 1358386004
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1215999503 UT --

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FAQs about Intermountain Specialized Abuse Treatment Center (Isat)

What is the unique identifier code issued to Intermountain Specialized Abuse Treatment Center (Isat) by the Centers for Medicare & Medicaid Services (CMS)?

The Intermountain Specialized Abuse Treatment Center (Isat) has been assigned the NPI (National Provider Identifier) 1215999503. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Intermountain Specialized Abuse Treatment Center (Isat)?

The Intermountain Specialized Abuse Treatment Center (Isat) is situated at 1555 West 2200 South, in the city of West Valley City, state of UT, with the zip code 841191486.

What is the Intermountain Specialized Abuse Treatment Center (Isat)'s specialty and taxonomy code?

The Intermountain Specialized Abuse Treatment Center (Isat)'s specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.

On what date did the Intermountain Specialized Abuse Treatment Center (Isat) receive the assignment of its 1215999503 from the Centers for Medicare & Medicaid Services?

The Intermountain Specialized Abuse Treatment Center (Isat) was issued its 1215999503 by the Centers for Medicare & Medicaid Services on 2006-04-04.

When was the information pertaining to Intermountain Specialized Abuse Treatment Center (Isat) most recently updated or revised?

The details related to Intermountain Specialized Abuse Treatment Center (Isat), including its address, specialty, and other relevant information, were last updated or revised on 2016-08-20.

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