# ELEVATIONS RTC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Syracuse RTC LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740690452
- **Authorized official:** MS. JANA RANDALL (BILLING COORDINATOR)
- **Authorized official phone:** (801) 773-0200

## Contact information

- **Practice address:** 2650 W 2700 S, SYRACUSE, UT 84075-9013
- **Practice address phone:** (801) 773-0200
- **Practice address fax:** (801) 773-0208
- **Mailing address:** 2650 W 2700 S, SYRACUSE, UT 84075-9013
- **Mailing address phone:** (801) 773-0200
- **Mailing address fax:** (801) 773-0208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 6916 | UT | Yes |

## Other

- **Enumeration date:** 05/02/2014
- **Last updated:** 05/02/2014