Organization
ENSIGN PEAK SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNA G. HUSSEY (EXECUTIVE DIRECTOR)
(801) 982-1404
Entity
Organization
Contact information
Practice address
2880 W 4700 S, SUITE B, SALT LAKE CITY, UT 84118-2156
(801) 982-1404
(801) 982-1365
Mailing address
3270 MEADOWBROOK DR, SALT LAKE CITY, UT 84119-5165
(801) 982-0716
(801) 965-8340
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
10522 AND 10523
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788007788248
—
UT
Enumeration date
08/31/2006
Last updated
08/22/2020
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