NPI 1124139654

Ensign Peak Services INC.

Organisation Mental Illness Community Based Residential Treatment Facility Salt Lake City, UT

Practice location

Address: 2880 W 4700 S Suite B, Salt Lake City, UT 84118-2156
Phone: (801) 982-1404
Fax: (801) 982-1365
Mailing address: 3270 Meadowbrook Dr, Salt Lake City, UT 84119-5165

Authorised official

Name: Dianna G. Hussey
Title: Executive Director
Phone: (801) 982-1404

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 10522 AND 10523 (UT)

Other Community Based Residential Treatment Facility, Mental Illness providers in Utah →

Registry record

NPI: 1124139654
Entity type: Organization
NPI issued: 31 Aug 2006
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.