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Organization · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Salt Lake City, UT

NPI
1871650457
Type
Organization (Type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities)
Specialty group
Residential Treatment Facilities
Taxonomy code
320900000X
License number
N11008B (UT)
Enumerated
2007-01-02
Last updated
2025-09-11
Practice location
1275 W 2320 S
Salt Lake City, UT 84119-1448
(801) 977-9779

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