EVOLUTION ACADEMY OF UTAH LLC
Psychiatric Residential Treatment Facility
Active
Organization
NPI: 1558432849
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | Yes | 11353 (UT) |
Frequently Asked Questions
NPI 1558432849 is the National Provider Identifier for EVOLUTION ACADEMY OF UTAH LLC, a Psychiatric Residential Treatment Facility provider located in Salt Lake City, UT. This NPI was enumerated on November 10, 2006.
Quick Facts
- NPI
- 1558432849
- Type
- Organization
- Enumerated
- Nov 10, 2006
- Last Updated
- Aug 22, 2020
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DAYWEST HEALTHCARE SERVICES
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DR. JAMAL HEJAZI, MD
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MR. BRENT JACKSON
Counselor
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MARIA-ANN BROWN
Case Manager/Care Coordinator
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DR. FAWAD TANVIR, MD
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