OrganizationActive
Utah Advocacy Network
NPI 1952792004 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Syracuse, UT
Provider details
- NPI number
- 1952792004
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- David Andreasen, Owner
- License
- 189610-3102-20170122 (UT)
Practice location
2075 South Bluff Road
Syracuse, UT 84075-9214
Phone: (801) 776-1380
Fax: (801) 784-4900
Mailing address
2075 South Bluff Road
Syracuse, UT 84075-9214
Registry dates
- Enumerated
- 2015-02-11
- Last updated
- 2017-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.