Cerebral Palsy of Utah
NPI #1013070028 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1013070028
- Entity Type
- Organization
- Organization Name
- Cerebral Palsy of Utah
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Dec 19, 2006
- Last Updated
- Sep 2, 2010
Practice Location
- Address
- 3550 S 700 W
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84119-4120
- Phone
- (801) 266-1805
Authorized Official
- Name
- MS. SHELLY G PETTY
- Title
- EXECUTIVE DIRECTOR
- Phone
- (801) 266-1805
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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