SEQUEL YOUTH SERVICES OF LAVA HEIGHTS NPI 1245787324

NPI Information

SEQUEL YOUTH SERVICES OF LAVA HEIGHTS is a community based residential treatment facility mental illness in Toquerville, UT. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SEQUEL YOUTH SERVICES OF LAVA HEIGHTS NPI is 1245787324. The provider is registered as an organization entity type.
The provider Is Doing Business As Lava Heights Academy.

The provider's business location address is:

730 E. SPRING DRIVE
TOQUERVILLE, UT
ZIP 84774
Phone: (435) 645-0300

The provider's authorized official is Mandy Moses .
The authorized official title is Chief Program Officer/evp and has the following contact phone number (256) 880-3339.

The CLIA number assigned to this NPI record is 46D2170970 - other - residential treatment ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2016 and was last updated on 10/16/2019.

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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