UTAH YOUTH VILLAGE NPI 1134435464

NPI Information

UTAH YOUTH VILLAGE is a residential treatment facility emotionally disturbed children in Kearns, UT. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. UTAH YOUTH VILLAGE NPI is 1134435464. The provider is registered as an organization entity type.
The provider Other Name Is South Kearns Home.

The provider's business location address is:

5934 S 4800 W
KEARNS, UT
ZIP 84118-061
Phone: (801) 967-6325
Fax: (801) 967-9890

The provider's authorized official is Eric Bjorkland .
The authorized official title is President and has the following contact phone number (801) 631-6921.

The enumeration date for this NPI number is 8/24/2010 and was last updated on 8/24/2010.

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:

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