IndividualActive
Daniel Banellis
NPI 1194087015 · Substance Abuse Rehabilitation Facility · Salt Lake City, UT
Provider details
- NPI number
- 1194087015
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
411 Grant St
Salt Lake City, UT 84116-2725
Phone: (801) 359-8862
Fax: (801) 359-8510
Approximate (ZIP-level) locationGet directions
Mailing address
400 North 1756 West, Apt 56b
Salt Lake City, UT 84116
Registry dates
- Enumerated
- 2012-06-15
- Last updated
- 2012-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.