Ihc Health Services INC

NPI #1194840157 in Salt Lake City, Utah

Provider Information

NPI Number: 1194840157
Entity Type: Organization
Organization Name: Ihc Health Services INC
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Mar 20, 2007
Last Updated: Dec 3, 2013

Practice Location

Address: 5770 S 1500 W
Address 2: BLDG C
City: Salt Lake City
State: Utah
ZIP Code: 84123-5216
Phone: (801) 313-7770

Authorized Official

Name: CHRISTINE J. JOHNSON
Title: MANAGER, PROVIDER ENROLLMENT
Phone: (801) 442-3156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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