Organization · Type 2 NPI

Primary Childrens Medical Center

Children's Substance Abuse Rehabilitation Facility · Salt Lake City, UT

NPI number 1457697369 Active

Practice location

5770 South 1500 West, Building A
Salt Lake City, UT 84123

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500X2743846006 (UT)

Children's Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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About NPI 1457697369

Primary Childrens Medical Center's National Provider Identifier is 1457697369, issued on Dec 20, 2012. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 20, 2012.