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NPI Code Detail

MEDICARE: CENTER FOR HUMAN POTENTIAL

MEDICARE: CENTER FOR HUMAN POTENTIAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency3643443501UT

General Provider Information

NPI Number : 1366679441
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR HUMAN POTENTIAL
Provider Business Mailing Address
First Line : 265 E 100 S STE 250
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-1643
Country : US
Telephone Number : 801-483-2447
Fax Number : 801-486-8705
Provider Business Practice Location Address
First Line : 265 E 100 S STE 250
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-1643
Country : US
Telephone Number : 801-483-2447
Fax Number : 801-486-8705
Authorized Official
Title or Position : CFO
Name : AVEZ MCGILL
Credential :
Telephone Number : 801-483-2447
Provider Enumeration Date : 06/16/2009
Last Update Date : 01/14/2020

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Directions to “CENTER FOR HUMAN POTENTIAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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