Organization · Type 2 NPI

Confederated Tribes of the Goshute Reservation

Mental Health Clinic/Center (Including Community Mental Health Center) · Salt Lake City, UT

NPI number 1003275280 Active

Practice location

660 S 200 E Ste 250
Salt Lake City, UT 84111-3846

Call (801) 359-2256 Map

Fax (801) 364-4392

Mailing address

HC 61 Box 6104
Ibapah, UT 84034-6003

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X9453799-8906 (UT)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1003275280

Confederated Tribes of the Goshute Reservation's National Provider Identifier is 1003275280, issued on Feb 17, 2016. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 11, 2025.