OrganizationActive
Cerebral Palsy of Utah
NPI 1013070028 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Salt Lake City, UT
Provider details
- NPI number
- 1013070028
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Shelly Petty, Executive Director
Practice location
3550 S 700 W
Salt Lake City, UT 84119-4120
Phone: (801) 266-1805
Fax: (801) 266-2404
Mailing address
3550 S 700 W
Salt Lake City, UT 84119-4120
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2010-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.