Individual provider · Type 1 NPI

Blake Denver Altom, M.S., MFT INTERN

Foster Care Agency · Logan, UT

NPI number 1255657201 Active

Practice location

242 Rosewood Cir
Logan, UT 84321-5045

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X7195889-3904 (UT)
Foster Care Agency Primary 253J00000XNone 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.

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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.