Alpine Center For Personal Growth LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Salt Lake City, UT. Organization (NPI-2).
NPI number1720295074
StatusActive
Last updated in NPPESJul 30, 2026
Details
- NPI
- 1720295074
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpine Center For Personal Growth LLC
- Organization subpart
- No
- Enumeration date
- May 17, 2007
- 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 | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
5689 S Redwood Rd # 30Salt Lake City, UT 84123-5322
Phone 801-268-1715 · Fax 801-268-1783
Mailing address
5689 S Redwood Rd Unit 30Salt Lake City, UT 84123-5499
Phone 801-268-1715 · Fax 801-268-1783
Authorized official
Amanda Kendzior
Ceo
8012681715
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