Individual provider · Type 1 NPI
Blake Denver Altom, M.S., MFT INTERN
Foster Care Agency · Logan, UT
Practice location
242 Rosewood Cir
Logan, UT 84321-5045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 7195889-3904 (UT) |
| Foster Care Agency Primary | 253J00000X | None listed |
Foster Care Agency: A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
Other foster care agency providers in Logan
About NPI 1255657201
Blake Denver Altom, M.S., MFT INTERN's National Provider Identifier is 1255657201, issued on Apr 15, 2010. The primary taxonomy on file is Foster Care Agency (253J00000X), and the practice location is in Logan, UT. The record was last updated on Apr 15, 2010.