Foundation for Family Life

NPI #1912371378 in Riverton, Utah

Provider Information

NPI Number: 1912371378
Entity Type: Organization
Organization Name: Foundation for Family Life
Primary Specialty: Counselor - Professional
Enumeration Date: Nov 23, 2015
Last Updated: Dec 20, 2019

Practice Location

Address: 11978 S REDWOOD RD
City: Riverton
State: Utah
ZIP Code: 84065-7403
Phone: (801) 750-5398

Authorized Official

Name: DR. JOSEPH WHITE, PH.D.
Title: EXECUTIVE DIRECTOR
Phone: (801) 750-5398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X
Marriage & Family Therapist	106H00000X
Peer Specialist	175T00000X
Counselor - Professional — Professional	101YP2500X	Primary

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