NPI 1043070063

Vivid Safe House

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Salt Lake City, UT

Practice location

Address: 3210 E Bernada Drive, Salt Lake City, UT 84124
Phone: (801) 449-0089
Mailing address: 4943 S Wasatch Blvd, Salt Lake City, UT 84124-4798

Authorised official

Name: Steven Labrum
Title: Finance Director
Phone: (801) 718-0132

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1043070063
Entity type: Organization
NPI issued: 19 Mar 2024
Record last updated: 19 Mar 2024

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.