Provider First Line Business Practice Location Address:
VALLEY MENTAL HEALTH CTP
Provider Second Line Business Practice Location Address:
3944 SOUTH 400 EAST
Provider Business Practice Location Address City Name:
SALT LAKE CITY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-261-1442
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2006