# TRISTAN INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346329034
- **Authorized official:** MS. JUDY HELEN BANKS (CO-OWNER/CO-DIRECTOR)
- **Authorized official phone:** (801) 479-3762

## Contact information

- **Practice address:** 1140 36TH ST, OGDEN, UT 84403-2050
- **Practice address phone:** (801) 392-0004
- **Mailing address:** 5203 AZTEC DR, OGDEN, UT 84403-4608
- **Mailing address phone:** (801) 479-3764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 08/22/2020