NPI 1013070028

Cerebral Palsy of Utah

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Salt Lake City, UT

Practice location

Address: 3550 S 700 W, Salt Lake City, UT 84119-4120
Phone: (801) 266-1805
Fax: (801) 266-2404

Authorised official

Name: Shelly G Petty
Title: Executive Director
Phone: (801) 266-1805

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Utah →

Physical Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Utah →

Registry record

NPI: 1013070028
Entity type: Organization
NPI issued: 19 Dec 2006
Record last updated: 2 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.