Organization
VIVID SAFE HOUSE
Active
Parent organization
EVA CARLSTON ACADEMY
Other names
Vivid Safe House
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVA CARLSTON ACADEMY
Authorized official
STEVEN LABRUM (FINANCE DIRECTOR)
(801) 718-0132
Entity
Organization
Contact information
Practice address
3210 E BERNADA DRIVE, SALT LAKE CITY, UT 84124
(801) 449-0089
Mailing address
4943 S WASATCH BLVD, SALT LAKE CITY, UT 84124-4798
(801) 449-0089
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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