NPI 1336265420

Salt Lake County Corporation

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Midvale, UT

Practice location

Address: 8446 Harrison St, Midvale, UT 84047-3568
Phone: (801) 561-0075
Fax: (801) 565-1205

Authorised official

Name: Peter M Carroon
Title: Mayor
Phone: (801) 468-2500

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 11700 (UT)

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

Registry record

NPI: 1336265420
Entity type: Organization
NPI issued: 21 Mar 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.