Organization
ISLAND VIEW RESIDENTIAL TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDEE JOHNSON (BUSINESS OFFICE MANAGER)
(801) 773-0200
Entity
Organization
Contact information
Practice address
2650 W 2700 S, SYRACUSE, UT 84075-9013
(801) 773-0200
(801) 773-0208
Mailing address
2650 W 2700 S, SYRACUSE, UT 84075-9013
(801) 773-0200
(801) 773-0208
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
UT
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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