IndividualActive
Jennifer Carlson, CMCH MAC
NPI 1508307083 · Substance Abuse Rehabilitation Facility · Sandy, UT
Provider details
- NPI number
- 1508307083
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Credential
- CMCH MAC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8336873-6004 (UT)
Mailing address
8375 S 700 E
Sandy, UT 84070-0504
Registry dates
- Enumerated
- 2017-03-16
- Last updated
- 2017-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.