Organization · Type 2 NPI

Cerebral Palsy of Utah

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Salt Lake City, UT

NPI number 1013070028 Active

Practice location

3550 S 700 W
Salt Lake City, UT 84119-4120

Fax (801) 266-2404

Specialties and licenses

Taxonomy	Code	License
Physical Disabilities Residential Treatment Facility	320700000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1013070028

Cerebral Palsy of Utah's National Provider Identifier is 1013070028, issued on Dec 19, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 2, 2010.