Ark of Little Cottonwood

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1459814-0140 Issued in UT

Legal business name

ARK OF LITTLE COTTONWOOD

Practice address

2919 Granite Hollow St
Sandy, UT 84092-4217

Phone

(801) 733-0200

NPI assigned

Jan 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gloria Lynn Boberg

Title

Executive Director

Phone

(801) 733-0200

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871644690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 GRANITE HOLLOW ST",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924217",
            "telephone_number": "801-733-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 GRANITE HOLLOW ST",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924217",
            "telephone_number": "801-733-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK OF LITTLE COTTONWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOBERG",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-733-0200"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "1459814-0140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joycelyn Araya
• Melissa Faye Archer, PHARMD
• Jacob Arellano, RBT
• Karla Arguello Cortes
• Marco Arici, O.D.
• Amanda Arrington, LMFT
• Travis Arrington, DC
• Jason John Asleson, PHARM D
• Aspen ABA LLC
• Aspire365

• All providers in Sandy, UT
• Substance Abuse Rehabilitation Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.