Individual provider · Type 1 NPI

Shawna Jean Gillen

Community/Behavioral Health Agency · Salt Lake City, UT

NPI number 1922301183 Active

Practice location

660 S 200 E Ste 308
Salt Lake City, UT 84111-3853

Call (801) 355-2086 Map

Fax (801) 359-3244

Mailing address

355 Dimaggio Dr
Tooele, UT 84074-9297

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1922301183

Shawna Jean Gillen's National Provider Identifier is 1922301183, issued on Dec 9, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 9, 2010.