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Organization
AVATAR, INC.
Active
Organization
AVATAR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANETTE DREWS PHD (CEO)
(801) 392-7485
Entity
Organization
Contact information
Practice address
4042 PACIFIC AVE STE 3, RIVERDALE, UT 84405-1689
(801) 392-7485
Mailing address
4042 PACIFIC AVE STE 3, RIVERDALE, UT 84405-1689
(801) 392-7485
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
A00815
UT
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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