Organization
VISTA AT DIMPLE DELL CANYON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
H MATTHEW DIXON JR. (OWNER)
(801) 250-9762
Entity
Organization
Contact information
Practice address
10209 DIMPLE DELL RD, SANDY, UT 84092-4536
(801) 250-9762
(801) 250-8483
Mailing address
10209 DIMPLE DELL RD, SANDY, UT 84092-4536
(801) 250-9762
(801) 250-8483
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
12378
UT
323P00000X
Psychiatric Residential Treatment Facility
Primary
12379
UT
Other
Enumeration date
02/07/2007
Last updated
09/11/2025
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