OrganizationActive
Our Place Autism Center
NPI 1750116638 · Developmental Disabilities Clinic/Center · Cedar City, UT
Provider details
- NPI number
- 1750116638
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tanisha Wittwer, Owner/Office Admin(435) 477-2583
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
470 N 2150 W Ste 6
Cedar City, UT 84721-4220
Phone: (435) 477-2583
Approximate (ZIP-level) locationGet directions
Mailing address
2918 W 5050 N
Cedar City, UT 84721-5539
Registry dates
- Enumerated
- 2024-09-03
- Last updated
- 2024-09-04
- Certified
- 2024-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.