EVOLUTION ACADEMY OF UTAH LLC NPI 1558432849

NPI Information

  • NPI: 1558432849
  • Provider Name: EVOLUTION ACADEMY OF UTAH LLC
  • Classification: Psychiatric Residential Treatment Facility - 323P00000X
  • Entity Type: Organization
  • Doing Business As: COTTONWOOD TREATMENT CENTER
  • Address: 1144 W 3300 S
    SALT LAKE CITY, UT
    ZIP 84119
  • Phone: (801) 433-2900

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NPI Details

EVOLUTION ACADEMY OF UTAH LLC is a psychiatric residential treatment facility in Salt Lake City, UT. The provider is 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 EVOLUTION ACADEMY OF UTAH LLC NPI is 1558432849. The provider is registered as an organization entity type.
The provider Is Doing Business As Cottonwood Treatment Center.

The provider's business location address is:

1144 W 3300 S
SALT LAKE CITY, UT
ZIP 84119-175
Phone: (801) 433-2900
Fax: (801) 433-2999

The provider's authorized official is James Bailey .
The authorized official title is C.e.o. and has the following contact phone number (801) 433-2900.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1323P00000XPsychiatric Residential Treatment Facility11353UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15168120MEDICAIDSOUTH DAKOTA
23810005990MEDICAIDWEST VIRGINIA
34103783MEDICAIDMONTANA
455880347MEDICAIDNEW MEXICO
5HS339PIMEDICAIDALASKA
64766MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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