NPI 1801937461

Avatar, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Riverdale, UT

Practice location

Address: 4042 Pacific Ave STE 3, Riverdale, UT 84405-1689
Phone: (801) 392-7485

Authorised official

Name: Jeanette Drews
Title: Ceo
Phone: (801) 392-7485

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence A00815 (UT)

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Registry record

NPI: 1801937461
Entity type: Organization
NPI issued: 8 Feb 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.