Provider Demographics
NPI:1497079719
Name:FIDUCIARY HOLDINGS GROUP, INC.
Entity Type:Organization
Organization Name:FIDUCIARY HOLDINGS GROUP, INC.
Other - Org Name:POSITIVE ADJUSTMENTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:GOODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-466-4484
Mailing Address - Street 1:2995 S WEST TEMPLE
Mailing Address - Street 2:SUITE A
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84115-3658
Mailing Address - Country:US
Mailing Address - Phone:801-466-4484
Mailing Address - Fax:801-466-4472
Practice Address - Street 1:2995 S WEST TEMPLE
Practice Address - Street 2:SUITE A
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-3658
Practice Address - Country:US
Practice Address - Phone:801-466-4484
Practice Address - Fax:801-466-4472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT16098251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management