JENNIFER CARLSON CMCH MAC – NPI #1508307083
Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
JENNIFER CARLSON is a substance abuse rehabilitation facility located in SANDY, UT. NPPES has assigned the NPI number 1508307083 to JENNIFER CARLSON on March 16, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JENNIFER CARLSON below.
NPI Profile for
JENNIFER CARLSON
(more than 9 years ago)
SANDY, UT 84070 Phone: (801) 576-0745 Fax:
SANDY, UT 84070-0504 Phone: (801) 576-0745 Fax:
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 324500000X - Substance Abuse Rehabilitation Facility (Primary) |
UT | 8336873-6004 |
| 320800000X - Community Based Residential Treatment Facility, Mental Illness |
UT | 8336873-6004 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.