Alpine Center For Personal Growth LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Salt Lake City, UT. Organization (NPI-2).
NPI number1023461415
StatusActive
Last updated in NPPESJul 30, 2026
Details
- NPI
- 1023461415
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpine Center For Personal Growth LLC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2016
- Certification date
- Jul 30, 2026
- Last updated
- Jul 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 27867 | UT | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | 27567 | UT |
Practice location
5689 S Redwood RdSuite 30
Salt Lake City, UT 84123-5447
Phone 801-268-1715 · Fax 801-268-1783
Mailing address
5689 S Redwood RdSuite 30
Salt Lake City, UT 84123-5447
Phone 801-268-1715 · Fax 801-268-1783
Authorized official
Amanda Kendzior
Ceo
8012681715
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