OrganizationActive
Live for Life Cypress
NPI 1922492057 · Mental Illness Community Based Residential Treatment Facility · Erda, UT
Provider details
- NPI number
- 1922492057
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Troy Shaw, Executive Director
- License
- 9716 (UT)
Mailing address
3023 N Bronzewood Cir
Erda, UT 84074-3302
Registry dates
- Enumerated
- 2015-03-26
- Last updated
- 2026-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.