Healthcare Provider Details

I. General information

NPI: 1528439585
Provider Name (Legal Business Name): UTAH HEALTH & HUMAN RIGHTS PROJECT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2015
Last Update Date: 04/19/2024
Certification Date: 04/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 E 4500 S STE 220
MURRAY UT
84107-4520
US

IV. Provider business mailing address

650 E 4500 S STE 220
MURRAY UT
84107-4520
US

V. Phone/Fax

Practice location:
  • Phone: 801-363-4596
  • Fax: 801-363-6068
Mailing address:
  • Phone: 801-494-5412
  • Fax: 801-363-6068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: HEIDI JUSTICE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 801-494-5412