OrganizationActive
Community Collective, LLC
NPI 1982537411 · Psychiatric Residential Treatment Facility · Draper, UT
Provider details
- NPI number
- 1982537411
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Corey Hickman, Ceo(801) 410-0160
Specialties & taxonomies
Residential Treatment Facilities
Practice location
11706 S 700 E
Draper, UT 84020-9365
Phone: (801) 523-3479
Fax: (801) 788-0577
Approximate (ZIP-level) locationGet directions
Mailing address
11706 S 700 E
Draper, UT 84020-9365
Registry dates
- Enumerated
- 2026-06-04
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.