Whalio Doctors

NPI 1427330968

Eva Carlston Academy

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

Practice location

Address
4943 Wasatch Blvd, Salt Lake City, UT 84124-4798
Phone
(801) 449-0089
Fax
(801) 204-9510

Authorised official

Name
Kristi Ragsdale
Title
Executive Director
Phone
(801) 699-6563

Registered specialties (4)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X
Mental Illness Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320800000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X
Children's Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 3245S0500X

Registry record

NPI
1427330968
Entity type
Organization
NPI issued
11 Sep 2011
Record last updated
11 Sep 2011

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.