OrganizationActive
Adolescent, Child and Family Therapy Clinic, Inc
NPI 1083732051 · Psychiatric/Mental Health Clinical Nurse Specialist · Salt Lake City, UT
Provider details
- NPI number
- 1083732051
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Rose Olds, President
- License
- 2152474405 (UT)
Practice location
370 E South Temple
Ste 550
Salt Lake City, UT 84111-1206
Phone: (801) 652-4937
Mailing address
515 S 700 E
Salt Lake City, UT 84102-2873
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.