NPI 1912165614

Gateway Academy LLC Draper

Organisation Psychiatric Residential Treatment Facility Draper, UT

Practice location

Address: 11706 S 700 E, Draper, UT 84020-9365
Phone: (801) 523-3479

Authorised official

Name: Angie Evans
Title: Insurance Billing
Phone: (801) 766-6604

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 13312 (UT)

Other Psychiatric Residential Treatment Facility providers in Utah →

Registry record

NPI: 1912165614
Entity type: Organization
NPI issued: 29 May 2008
Record last updated: 29 May 2008

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.