Provider Demographics
NPI:1053020768
Name:RESOURCE INITIATIVE FOR COMMUNITY EMPOWERMENT
Entity type:Organization
Organization Name:RESOURCE INITIATIVE FOR COMMUNITY EMPOWERMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:L
Authorized Official - Last Name:PEREZ AQUINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-921-1766
Mailing Address - Street 1:1141 N 1125 W
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-2882
Mailing Address - Country:US
Mailing Address - Phone:801-921-1766
Mailing Address - Fax:
Practice Address - Street 1:1141 N 1125 W
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-2882
Practice Address - Country:US
Practice Address - Phone:801-921-1766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)