Organization
ARK OF LITTLE COTTONWOOD
Active
Organization
ARK OF LITTLE COTTONWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA LYNN BOBERG (EXECUTIVE DIRECTOR)
(801) 733-0200
Entity
Organization
Contact information
Practice address
2919 GRANITE HOLLOW ST, SANDY, UT 84092-4217
(801) 733-0200
Mailing address
2919 GRANITE HOLLOW ST, SANDY, UT 84092-4217
(801) 733-0200
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1459814-0140
UT
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up