NPI 1235546573

University of Utah Healthcare

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

Practice location

Address: 51 W 3900 S, Salt Lake City, UT 84107-1431
Phone: (801) 587-2370
Fax: (801) 266-1088

Authorised official

Name: Ross van Vranken
Title: Executive Director
Phone: (801) 587-3115

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 13644 (UT)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Utah →

Registry record

NPI: 1235546573
Entity type: Organization
NPI issued: 18 Jul 2014
Record last updated: 3 Mar 2017

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.