# EVOLUTION ACADEMY OF UTAH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cottonwood Treatment Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558432849
- **Authorized official:** MR. JAMES BAILEY (C.E.O.)
- **Authorized official phone:** (801) 433-2900

## Contact information

- **Practice address:** 1144 W 3300 S, SALT LAKE CITY, UT 84119-7175
- **Practice address phone:** (801) 433-2900
- **Practice address fax:** (801) 433-2999
- **Mailing address:** 1144 W 3300 S, SALT LAKE CITY, UT 84119-7175
- **Mailing address phone:** (801) 433-2900
- **Mailing address fax:** (801) 433-2999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 11353 | UT | Yes |

## Other

- **Enumeration date:** 11/10/2006
- **Last updated:** 08/22/2020