OrganizationActive
University of Utah Healthcare
NPI 1235546573 · Emotionally Disturbed Childrens' Residential Treatment Facility · Salt Lake City, UT
Provider details
- NPI number
- 1235546573
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Ross Van Vranken, Executive Director
- License
- 13644 (UT)
Practice location
51 W 3900 S
Salt Lake City, UT 84107-1431
Phone: (801) 587-2370
Fax: (801) 266-1088
Mailing address
51 W 3900 S
Salt Lake City, UT 84107-1431
Registry dates
- Enumerated
- 2014-07-18
- Last updated
- 2017-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.