CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Ambulatory Health at 200, Salt Lake City, UT

License number
Utah 9453799-8906
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: VIRGIL W JOHNSON
Title: COUNCIL CHAIR
Phone: (801) 898-4814
Address
Address 2
660 S 200 E STE 250, Salt Lake City, UT 84111
61 Box 6104, Ibapah, UT 84034
National Provider ID: 1003275280
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION at bizstanding.com

Confederated Tribes of The Goshute Reservation

195 Tribal Ctr Rd, Ibapah, UT 84034

Industry:
Civic/Social Association
Phone:
(435) 234-1138 (Phone)
Acting Health Directors:
Ed Naranjo (Chairman),Rupert Steele (Chairman),Christine Steele (Acting Health Director)

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