South District Twenty-Eight

NPI #1649843228 in Orem, Utah

Provider Information

NPI Number: 1649843228
Entity Type: Organization
Organization Name: South District Twenty-Eight
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 21, 2021
Last Updated: Jul 21, 2021

Practice Location

Address: 1450 E 820 N
City: Orem
State: Utah
ZIP Code: 84097-5481
Phone: (385) 220-4751

Authorized Official

Name: AUDREY SOUTH, LCSW
Title: OWNER
Phone: (385) 220-4751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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