Evolution Academy Of Utah Llc, NPI 1558432849
Psychiatric Residential Treatment Facility in Salt Lake City, UT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1558432849
NPI Entity Type Organization
Provider Name Evolution Academy Of Utah Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1144 W 3300 S, Salt Lake City, UT, US
Provider Mailing Address 1144 W 3300 S, Salt Lake City, UT, US, 841197175
Is Sole Proprietor? No
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Organization Official

Official Name MR. James Bailey
Official Position C.E.O.
Phone 801-433-2900

Primary Taxonomy

Taxonomy Code

323P00000X

Taxonomy Name Psychiatric Residential Treatment Facility
Classification

Psychiatric Residential Treatment Facility

Group

Residential Treatment Facilities

License No. 11353
License State UT
Description A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Other Organization Name

Cottonwood Treatment Center
Doing Business As

Business Address

Evolution Academy Of Utah Llc
1144 W 3300 S

Salt Lake City, UT, US

Phone: 801-433-2900
Fax: 801-433-2999

Mailing Address

Evolution Academy Of Utah Llc
1144 W 3300 S
Salt Lake City, UT, US
ZIP 841197175
Phone: 801-433-2900
Fax: 801-433-2999

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
5168120 SD MEDICAID 05
4103783 MT MEDICAID 05
HS339PI AK MEDICAID 05
3810005990 WV MEDICAID 05
4766 VA MEDICAID 05
55880347 NM MEDICAID 05

Other Providers in UT, US

NPI Name Taxonomy Address

1902227101

PA-S James Ritch Benson

Individual

Student in an Organized Health Care Education/Training Program

1116 S River View Dr

Spanish Fork, UT

1821593013

MD Cara Chaudhary

Individual

Internal Medicine Physician

324 E 10th Ave Ste 245

Salt Lake City, UT

1639894009

Zussette Sanchez

Individual

Case Manager/Care Coordinator

251 E 200 N

Saint George, UT

1962127324

Jared Rust

Individual

Behavior Technician

1970 W 7800 S

West Jordan, UT

1326763780

Brinleigh Bishop

Individual

Behavior Technician

1970 W 7800 S

West Jordan, UT

1346525474

FNP-C Robert Wilson Ralston

Individual

Family Nurse Practitioner

830 N 980 W

Orem, UT

1639815483

Utah Wound Care And Hyperbaric Center Llc

Organization

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician

209 E Gordon Ave Ste 1

Layton, UT

1720703184

Anna White

Individual

Behavior Technician

1970 W 7800 S

West Jordan, UT

1003531468

Gracie Gillman

Individual

Behavior Technician

1970 W 7800 S

West Jordan, UT

1407571854

Auriane Davis

Individual

Student in an Organized Health Care Education/Training Program

130 S Main St # 119a

Logan, UT

1467831263

Candice Yeaman

Individual

Mental Health Counselor

11075 S State St Ste 4

Sandy, UT

1073811071

Stephen Gordon Anderson

Individual

Marriage & Family Therapist

525 N 1080 E

Orem, UT

1023662400

PA Adam Christopher Garrett

Individual

Physician Assistant

1184 E 80 N

American Fork, UT

1396460721

Cole Mayoros

Individual

Community Health Worker

249 E Tabernacle St Ste 100

St George, UT

1497470827

Alayna Hill

Individual

Behavior Technician

1067 E Tabernacle St

St George, UT

1023733441

APRN Trisha Sears

Individual

Family Nurse Practitioner

4563 W Frary Rd

Syracuse, UT

1184349631

Empower You Therapy

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

12485 S 900 E

Draper, UT

1588389902

Damaris Villalobos

Individual

Community Health Worker

249 E Tabernacle St Ste 100

St George, UT

1760107189

Dylan Smart

Individual

Behavioral Analyst

8031 S 700 E

Sandy, UT

1609591007

Alexis Suzanne Goodwin

Individual

Behavior Technician

2025 S 50 W

Bountiful, UT

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