| Cta Community Supports | |
|
4444 S 700 E Suite 203 Murray UT 84107-3075 | |
| (801) 268-4887 | |
| (801) 268-4880 |
| Full Name | Cta Community Supports |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4444 S 700 E, Murray, Utah |
| Authorized Official Name and Position | Justin Naylor (PROGRAM DIRECTOR) |
| Authorized Official Contact | 8015980743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cta Community Supports 4444 S 700 E Suite 203 Murray UT 84107-3075 Ph: (801) 268-4887 | Cta Community Supports 4444 S 700 E Suite 203 Murray UT 84107-3075 Ph: (801) 268-4887 |
| NPI Number | 1972895290 |
|---|---|
| Provider Enumeration Date | 05/04/2011 |
| Last Update Date | 10/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972895290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Secondary |
| 251S00000X | Community/behavioral Health | 16643 (Utah) | Primary |
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