NPI 1720295074 · live from the CMS NPI Registry
Alpine Center For Personal Growth LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Salt Lake City, UT. National Provider Identifier 1720295074, active.
NPI record
| NPI | 1720295074 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Rehabilitation, Substance Use Disorder 261QR0405X |
| Practice location | 5689 S Redwood Rd # 30, Salt Lake City, UT 84123 |
| Practice phone | 801-268-1715 |
| Mailing address | 5689 S Redwood Rd Unit 30, Salt Lake City, UT 84123 |
| Enumerated | May 17, 2007 |
| Last updated | July 30, 2026 |
| Authorized official | Amanda Kendzior, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — |
| Clinic/Center, Rehabilitation, Substance Use Disorder primary | 261QR0405X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.