Individual provider · Type 1 NPI
Jenna Uitdenhowen
Substance Abuse Rehabilitation Facility · Slc, UT
NPI number
1528510484
Active
Practice location
344 E 100 S, Ste 301
Slc, UT 84111-1700
Mailing address
7706 S 415 E
Midvale, UT 84047-2730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
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 individuals with disorders in the abuse of drugs, alcohol, and other substances.
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About NPI 1528510484
Jenna Uitdenhowen's National Provider Identifier is 1528510484, issued on Oct 26, 2016. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Slc, UT. The record was last updated on Oct 26, 2016.