CROSS CREEK MANOR NPI 1780900464

NPI Information

  • NPI: 1780900464
  • Provider Name: CROSS CREEK MANOR
  • Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
  • Specialization: Substance Abuse Treatment, Children
  • Entity Type: Organization
  • Address: 50 S STATE ST
    LA VERKIN, UT
    ZIP 84745
  • Phone: (435) 635-2390

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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