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
3149 E 9800 S, SANDY, UT 84092-4213
(385) 237-3600
(801) 417-9607
Mailing address
1122 W SOUTH JORDAN PKWY, SUITE B, SOUTH JORDAN, UT 84095-5507
(801) 446-6312
(801) 446-7746
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
18587
UT
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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