OrganizationActive
Ensign Peak Services Inc.
NPI 1124139654 · Mental Illness Community Based Residential Treatment Facility · Salt Lake City, UT
Provider details
- NPI number
- 1124139654
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dianna Hussey, Executive Director(801) 982-1404
- License
- 10522 AND 10523 (UT)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 10522 AND 10523 (UT)
Residential Treatment Facilities
Practice location
2880 W 4700 S
Suite B
Salt Lake City, UT 84118-2156
Phone: (801) 982-1404
Fax: (801) 982-1365
Approximate (ZIP-level) locationGet directions
Mailing address
3270 Meadowbrook Dr
Salt Lake City, UT 84119-5165
Registry dates
- Enumerated
- 2006-08-31
- 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.