Organization
UTAH STATE DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN CLARKE (SUPERINTENDENT)
(801) 763-4091
Entity
Organization
Contact information
Practice address
895 N. 900 E., AMERICAN FORK, UT 84003-9199
(801) 763-4000
(801) 763-4073
Mailing address
895 N. 900 E., AMERICAN FORK, UT 84003-9199
(801) 763-4000
(801) 763-4073
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
2004-NCF-95
UT
Other
Enumeration date
07/22/2005
Last updated
08/22/2020
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