OrganizationActive
Ddms of Utah No.2
NPI 1326418328 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bountiful, UT
Provider details
- NPI number
- 1326418328
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Misti Buck, Director of Operations
- License
- 2015-SHCF-344 (UT)
Practice location
340 N 100 W
Bountiful, UT 84010-6054
Phone: (801) 292-6797
Fax: (801) 295-3660
Mailing address
119 S Pacific Dr
American Fork, UT 84003-2196
Registry dates
- Enumerated
- 2015-10-02
- Last updated
- 2023-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.