Provider Demographics
NPI:1639318736
Name:UTAH COUNTY
Entity Type:Organization
Organization Name:UTAH COUNTY
Other - Org Name:UTAH COUNTY CHILDREN'S JUSTICE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:AUTUMN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-851-8546
Mailing Address - Street 1:315 S 100 E
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84606-4649
Mailing Address - Country:US
Mailing Address - Phone:801-851-8554
Mailing Address - Fax:801-851-8518
Practice Address - Street 1:315 S 100 E
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84606-4649
Practice Address - Country:US
Practice Address - Phone:801-851-8554
Practice Address - Fax:801-851-8518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT192852-4405251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare