Utah State Developmental Center
NPI #1689674301 in American Fork, Utah
Provider Information
- NPI Number
- 1689674301
- Entity Type
- Organization
- Organization Name
- Utah State Developmental Center
- Primary Specialty
- Intermediate Care Facility, Mental Illness
- Enumeration Date
- Jul 22, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 895 N. 900 E.
- City
- American Fork
- State
- Utah
- ZIP Code
- 84003-9199
- Phone
- (801) 763-4000
Authorized Official
- Name
- KAREN CLARKE
- Title
- SUPERINTENDENT
- Phone
- (801) 763-4091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Mental Illness |
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