Evolution Academy of Utah LLC
NPI #1558432849 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1558432849
- Entity Type
- Organization
- Organization Name
- Evolution Academy of Utah LLC
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Nov 10, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1144 W 3300 S
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84119-7175
- Phone
- (801) 433-2900
Authorized Official
- Name
- MR. JAMES BAILEY
- Title
- C.E.O.
- Phone
- (801) 433-2900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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