| Alliance House | |
|
1724 S Main St Salt Lake City UT 84115-1912 | |
| (801) 486-5012 | |
| Not Available |
| Full Name | Alliance House |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1724 S Main St, Salt Lake City, Utah |
| Authorized Official Name and Position | Paige Huff (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8014865012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance House 1724 S Main St Salt Lake City UT 84115-1912 Ph: (801) 486-5012 | Alliance House 1724 S Main St Salt Lake City UT 84115-1912 Ph: (801) 486-5012 |
| NPI Number | 1033585765 |
|---|---|
| Provider Enumeration Date | 08/17/2015 |
| Last Update Date | 04/22/2020 |
| Certification Date | 04/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033585765 | NPI | - | NPPES |
| 1033585765 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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