Organization · Type 2 NPI

Blue Sage Youth Services

Emotionally Disturbed Childrens' Residential Treatment Facility · Manti, UT

NPI number 1265632939 Active

Practice location

580 West 1500 South
Manti, UT 84648

Mailing address

PO Box 6
Manti, UT 84642-0006

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X12439 (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.

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About NPI 1265632939

Blue Sage Youth Services's National Provider Identifier is 1265632939, issued on Jul 20, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Manti, UT. The record was last updated on Jul 20, 2007.