Organization
UT-TEX, INC
Active
Other names
Vista Adolescent Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
H MATTHEW DIXON JR. (OWNER)
(801) 446-6312
Entity
Organization
Contact information
Practice address
8265 W 2700 S, MAGNA, UT 84044-1323
(801) 446-6312
(801) 446-7746
Mailing address
8265 W 2700 S, MAGNA, UT 84044-1323
(801) 446-6312
(801) 446-7746
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
12385
UT
323P00000X
Psychiatric Residential Treatment Facility
12385
UT
Other
Enumeration date
02/07/2007
Last updated
12/18/2015
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