VIVID SAFE HOUSE
Residential Treatment Facility, Emotionally Disturbed Children
Active
Organization
NPI: 1043070063
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | Yes | - |
Frequently Asked Questions
NPI 1043070063 is the National Provider Identifier for VIVID SAFE HOUSE, a Residential Treatment Facility, Emotionally Disturbed Children provider located in Salt Lake City, UT. This NPI was enumerated on March 19, 2024.
Quick Facts
- NPI
- 1043070063
- Type
- Organization
- Enumerated
- Mar 19, 2024
- Last Updated
- Mar 19, 2024
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MR. BRENT JACKSON
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MARIA-ANN BROWN
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DR. FAWAD TANVIR, MD
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