NPI 1073662284

Care Treatment and Recreation

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Sandy, UT

Practice location

Address: 2057 Meadowlark Way, Sandy, UT 84093
Phone: (801) 699-8765

Authorised official

Name: Corey Lynn Headman
Title: Cfo
Phone: (801) 699-8765

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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

Registry record

NPI: 1073662284
Entity type: Organization
NPI issued: 9 Jan 2007
Record last updated: 22 Aug 2020

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.