Organization · Type 2 NPI

Vivid Safe House

Emotionally Disturbed Childrens' Residential Treatment Facility · Salt Lake City, UT

NPI number 1043070063 Active

Practice location

3210 E Bernada Drive
Salt Lake City, UT 84124

Mailing address

4943 S Wasatch Blvd
Salt Lake City, UT 84124-4798

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1043070063

Vivid Safe House's National Provider Identifier is 1043070063, issued on Mar 19, 2024. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 19, 2024.