# EVA CARLSTON ACADEMY

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

## Provider details

- **NPI number:** 1427330968
- **Authorized official:** KRISTI RAGSDALE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (801) 699-6563

## Contact information

- **Practice address:** 4943 WASATCH BLVD, SALT LAKE CITY, UT 84124-4798
- **Practice address phone:** (801) 449-0089
- **Practice address fax:** (801) 204-9510
- **Mailing address:** 4943 WASATCH BLVD, SALT LAKE CITY, UT 84124-4798
- **Mailing address phone:** (801) 449-0089
- **Mailing address fax:** (801) 204-9510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 09/11/2011
- **Last updated:** 09/11/2011