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Organization
ELEVATIONS RTC
Active
Organization
ELEVATIONS RTC
Active
Other names
Syracuse RTC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANA RANDALL (BILLING COORDINATOR)
(801) 773-0200
Entity
Organization
Contact information
Practice address
2650 W 2700 S, SYRACUSE, UT 84075-9013
(801) 773-0200
(801) 773-0208
Mailing address
2650 W 2700 S, SYRACUSE, UT 84075-9013
(801) 773-0200
(801) 773-0208
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
6916
UT
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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