OrganizationActive
Care Treatment and Recreation
NPI 1073662284 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Sandy, UT
Provider details
- NPI number
- 1073662284
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Corey Headman, Cfo
Mailing address
2057 Meadowlark Way
Sandy, UT 84093
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.