Provider Type Icon

CROSS CREEK MANOR NPI 1780900464


NPI Information

NPI: 1780900464
Provider Name: CROSS CREEK MANOR
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
50 S STATE ST
LA VERKIN, UT
ZIP 84745
Phone: (435) 635-2390
Get Directions

CROSS CREEK MANOR is a substance abuse treatment and children substance abuse rehabilitation facility in La Verkin, UT. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. CROSS CREEK MANOR NPI is 1780900464. The provider is registered as an organization entity type.

The provider's business location address is:

50 S STATE ST
LA VERKIN, UT
ZIP 84745-443
Phone: (435) 635-2390
Fax: (435) 635-2778

The provider's authorized official is Derrick Esplin .
The authorized official title is Cpa and has the following contact phone number (435) 635-2390.

The enumeration date for this NPI number is 4/20/2010 and was last updated on 4/20/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenUTAHNo
2323P00000XPsychiatric Residential Treatment FacilityUTAHNo
33245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenUTAHYes

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.