NPI 1356473011
Island View Residential Treatment Center
Practice location
- Address
- 2650 W 2700 S, Syracuse, UT 84075-9013
- Phone
- (801) 773-0200
- Fax
- (801) 773-0208
Authorised official
- Name
- Brandee Johnson
- Title
- Business Office Manager
- Phone
- (801) 773-0200
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1356473011
- Entity type
- Organization
- NPI issued
- 9 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.