Organization
COMMUNITY COLLECTIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY HICKMAN (CEO)
(801) 410-0160
Entity
Organization
Contact information
Practice address
11706 S 700 E, DRAPER, UT 84020-9365
(801) 523-3479
(801) 788-0577
Mailing address
11706 S 700 E, DRAPER, UT 84020-9365
(801) 523-3479
(801) 788-0577
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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