Provider Demographics
NPI:1508230954
Name:UTAH HEALTH AND HUMAN RIGHTS
Entity Type:Organization
Organization Name:UTAH HEALTH AND HUMAN RIGHTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:PACE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-363-4596
Mailing Address - Street 1:225 S 200 E
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84111-2438
Mailing Address - Country:US
Mailing Address - Phone:801-363-4596
Mailing Address - Fax:801-363-6068
Practice Address - Street 1:225 S 200 E
Practice Address - Street 2:SUITE 250
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84111-2438
Practice Address - Country:US
Practice Address - Phone:801-363-4596
Practice Address - Fax:801-363-6068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-23
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management