OrganizationActive
Avatar, Inc.
NPI 1801937461 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Riverdale, UT
Provider details
- NPI number
- 1801937461
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jeanette Drews, Ceo(801) 392-7485
- License
- A00815 (UT)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense A00815 (UT)
Residential Treatment Facilities
Practice location
4042 Pacific Ave Ste 3
Riverdale, UT 84405-1689
Phone: (801) 392-7485
Approximate (ZIP-level) locationGet directions
Mailing address
4042 Pacific Ave Ste 3
Riverdale, UT 84405-1689
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.