Provider Demographics
NPI:1063759132
Name:NATIONAL CENTER FOR SELF-ACCEPTANCE
Entity type:Organization
Organization Name:NATIONAL CENTER FOR SELF-ACCEPTANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARROP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-310-4363
Mailing Address - Street 1:3214 N UNIVERSITY AVE
Mailing Address - Street 2:#220
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-4405
Mailing Address - Country:US
Mailing Address - Phone:801-310-4363
Mailing Address - Fax:
Practice Address - Street 1:3214 N UNIVERSITY AVE
Practice Address - Street 2:#220
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-4405
Practice Address - Country:US
Practice Address - Phone:801-310-4363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health