Subtenant 1430 East 4500 South LLC
NPI #1629129689 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1629129689
- Entity Type
- Organization
- Organization Name
- Subtenant 1430 East 4500 South LLC
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Jul 26, 2016
Practice Location
- Address
- 1430 EAST 4500 SOUTH
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84117-4208
- Phone
- (801) 272-8000
Authorized Official
- Name
- MR. THOMAS V CROAL
- Title
- SVP & CFO
- Phone
- (949) 240-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
| Psychiatric Hospital |
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| Salt Lake Behavioral Health, LLC | AI Deep Dive |
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