Provider Demographics
NPI:1093919789
Name:UTAH'S CHILDREN'S JUSTICE CENTER PROGRAM, WEBERMORGAN
Entity Type:Organization
Organization Name:UTAH'S CHILDREN'S JUSTICE CENTER PROGRAM, WEBERMORGAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CJC DEVELOPMENT & TRAINING COORDINA
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEKLEMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-281-1238
Mailing Address - Street 1:5272 COLLEGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-2772
Mailing Address - Country:US
Mailing Address - Phone:801-281-1238
Mailing Address - Fax:801-281-1235
Practice Address - Street 1:2408 VAN BUREN AVE
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84401-2712
Practice Address - Country:US
Practice Address - Phone:801-393-5710
Practice Address - Fax:801-394-6807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty