Confederated Tribes of the Goshute Reservation

NPI #1194189233 in Salt Lake City, Utah

Provider Information

NPI Number
1194189233
Entity Type
Organization
Organization Name
Confederated Tribes of the Goshute Reservation
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Apr 5, 2016
Last Updated
Dec 11, 2025

Practice Location

Address
660 S 200 E
Address 2
SUITE 250
State
Utah
ZIP Code
84111-3835
Phone
(801) 359-2256

Authorized Official

Name
LINDA THATCHER
Title
BILLING
Phone
(801) 359-2256

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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