OrganizationActive
Ddms of Utah No.2
NPI 1558730218 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · West Valley City, UT
Provider details
- NPI number
- 1558730218
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Misti Buck, Director of Operations(801) 763-9299
- License
- 2015-SHCF-101 (UT)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 2015-SHCF-101 (UT)
Residential Treatment Facilities
Practice location
4028 S 4800 W
West Valley City, UT 84120-4537
Phone: (801) 968-8122
Fax: (801) 968-8135
Approximate (ZIP-level) locationGet directions
Mailing address
4028 S 4800 W
West Valley City, UT 84120-4537
Other names (DBA / former)
- Doing business as
- West Side Center
- Doing business as
- West Side Center
Registry dates
- Enumerated
- 2015-09-23
- Last updated
- 2023-06-08
- Certified
- 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.