| Vida Utah Inc. | |
|
8813 S Redwood Rd Ste B1 West Jordan UT 84088-9272 | |
| (385) 439-9823 | |
| Not Available |
| Full Name | Vida Utah Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8813 S Redwood Rd Ste B1, West Jordan, Utah |
| Authorized Official Name and Position | Rene E. Barrera (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3852478387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Utah Inc. 8813 S Redwood Rd Ste B1 West Jordan UT 84088-9272 Ph: (385) 439-9823 | Vida Utah Inc. 8813 S Redwood Rd Ste B1 West Jordan UT 84088-9272 Ph: (385) 439-9823 |
| NPI Number | 1447108949 |
|---|---|
| Provider Enumeration Date | 03/19/2026 |
| Last Update Date | 03/19/2026 |
| Certification Date | 03/19/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447108949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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