ADOLESCENT, CHILD AND FAMILY THERAPY CLINIC, INC - NPI 1083732051 - Clinical Nurse Specialist in Salt Lake City, UT

Q: What is the provider's specialty?

The provider's specialty is Clinical Nurse Specialist with taxonomy code 364SP0808X and a focus in Psychiatric/Mental Health.

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About Adolescent, Child And Family Therapy Clinic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADOLESCENT, CHILD AND FAMILY THERAPY CLINIC, INC (NPI 1083732051) is a healthcare organization registered as a psychiatric/mental health in Salt Lake City, Utah and active in the NPI registry since March 2007. The organization lists Rose B. Olds, President, as its authorized official.

NPPES Registry Identity

NPI1083732051

Entity TypeOrganization

Primary Taxonomy364SP0808X

Legal Business NameADOLESCENT, CHILD AND FAMILY THERAPY CLINIC, INC

Location Address370 E SOUTH TEMPLE, STE 550Salt Lake City, UT 84111-1206

Mailing Address515 S 700 E, Ste 3aSalt Lake City, UT 84102-2873 · (801) 652-4937

Phone(801) 652-4937

Organization SubpartNo

Authorized OfficialRose B. OldsPresident · (801) 652-4937

Enumeration DateMarch 27, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1083732051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0808X

License✔ Licensed in UT · 2152474405

370 E SOUTH TEMPLE, Salt Lake City, UT 84111

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP