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CORNER CANYON RECOVERY LLC NPI 1730843293


NPI Information

NPI: 1730843293
Provider Name: CORNER CANYON RECOVERY, LLC
Classification: Psychiatric Residential Treatment Facility - 323P00000X
Entity Type: Organization
Address:
13020 S FORT ST
DRAPER, UT
ZIP 84020
Phone: (801) 994-1849
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CORNER CANYON RECOVERY, LLC is a psychiatric residential treatment facility in Draper, 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 CORNER CANYON RECOVERY, LLC NPI is 1730843293. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13020 S FORT ST
DRAPER, UT
ZIP 84020-294
Phone: (801) 994-1849
Fax: (801) 384-0820

The provider's authorized official is Bradley Randall Christensen .
The authorized official title is Executive Director and has the following contact phone number (801) 994-1849.

The enumeration date for this NPI number is 10/29/2021 and was last updated on 10/29/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
5133N00000XNutritionistNo
6133V00000XDietitian, RegisteredNo
7163W00000XRegistered NurseNo
8171M00000XCase Manager/Care CoordinatorNo
9261QM1300XClinic/CenterMulti-SpecialtyNo
10261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
11324500000XSubstance Abuse Rehabilitation FacilityNo
12363LA2100XNurse PractitionerAcute CareNo
13363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
14323P00000XPsychiatric Residential Treatment FacilityYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1107410OTHERUTAHSTATE LICENSE
2107170OTHERUTAHSTATE LICENSE
3107411OTHERUTAHSTATE LICENSE

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.