Paiute Indian Tribe of Utah

NPI #1104288521 in Cedar City, Utah

Provider Information

NPI Number: 1104288521
Entity Type: Organization
Organization Name: Paiute Indian Tribe of Utah
Subpart: Yes (part of a larger organization)
Parent Organization: PAIUTE INDIAN TRIBE OF UTAH
Primary Specialty: Case Management
Enumeration Date: Mar 24, 2016
Last Updated: Mar 24, 2016

Practice Location

Address: 440 N PAIUTE DR
City: Cedar City
State: Utah
ZIP Code: 84721-6181
Phone: (435) 586-1112

Authorized Official

Name: TYLER GODDARD, LCSW
Title: BEHAVIORAL CARE DIRECTOR
Phone: (435) 586-1112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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