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Contact Information

ADOLESCENCE TO ADULTHOOD COUNSELING
640 N MAIN ST
SUITE 1474
NORTH SALT LAKE, UT84054-2162
 Phone: 801-891-0400
 Fax: 801-298-0846
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for ADOLESCENCE TO ADULTHOOD COUNSELING

NPI # 1740508993
LBN Legal business name ADOLESCENCE TO ADULTHOOD COUNSELING
Authorized official KENNETH HULL - (QWNER / CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2010
Last updated 05/12/2010 - About 16 years ago
Identifiers
UT License # 16382
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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