Organization · Type 2 NPI
Elements Wilderness Program
Emotionally Disturbed Childrens' Residential Treatment Facility · Huntington, UT
Practice location
130 N Main Street
Huntington, UT 84528
Mailing address
5807 Fontaine Bleu Dr
Salt Lake City, UT 84121-1819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 15403 (UT) |
Emotionally Disturbed Childrens' Residential Treatment Facility: 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.
Another provider at this address
About NPI 1013249713
Elements Wilderness Program's National Provider Identifier is 1013249713, issued on Feb 4, 2010. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Huntington, UT. The record was last updated on Feb 4, 2010.