OrganizationActive
Community Treatment Alternatives
NPI 1912064650 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Salt Lake City, UT
Provider details
- NPI number
- 1912064650
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dustin Erekson, Executive Director(801) 268-4887
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
4444 S 700 E
203
Salt Lake City, UT 84107-3075
Phone: (801) 268-4887
Approximate (ZIP-level) locationGet directions
Mailing address
4444 S 700 E
Salt Lake City, UT 84107-3075
Registry dates
- Enumerated
- 2007-01-02
- 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.