Healthcare Provider Details

I. General information

NPI: 1386733277
Provider Name (Legal Business Name): ASIAN ASSOCIATION OF UTAH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1588 MAJOR ST
SALT LAKE CITY UT
84115-1631
US

IV. Provider business mailing address

1588 MAJOR ST
SALT LAKE CITY UT
84115-1631
US

V. Phone/Fax

Practice location:
  • Phone: 801-467-6060
  • Fax: 801-486-3007
Mailing address:
  • Phone: 801-467-6060
  • Fax: 801-486-3007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number11254
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number11254
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number11254
License Number StateUT

VIII. Authorized Official

Name: MR. SHU H CHENG
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 801-467-6060