OrganizationActive
Utah Addiction Centers
NPI 1629423280 · Mental Illness Community Based Residential Treatment Facility · Eagle Mountain, UT
Provider details
- NPI number
- 1629423280
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jeremy Boberg, Owner(801) 634-8938
- License
- 21344 (UT)
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
2590 E Prairie View Dr
Eagle Mountain, UT 84005-6096
Phone: (801) 766-2233
Approximate (ZIP-level) locationGet directions
Mailing address
2590 E Prairie View Dr
Eagle Mountain, UT 84005-6096
Registry dates
- Enumerated
- 2016-05-02
- Last updated
- 2016-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.