Organization · Type 2 NPI
Blue Peak Acadmey for Young Women
Emotionally Disturbed Childrens' Residential Treatment Facility · Koosharem, UT
Practice location
525 N 100 W
Koosharem, UT 84744-0369
Fax (435) 638-7476
Mailing address
PO Box 440369
Koosharem, UT 84744-0369
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 16303 (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.
About NPI 1275853855
Blue Peak Acadmey for Young Women's National Provider Identifier is 1275853855, issued on Jun 7, 2010. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Koosharem, UT. The record was last updated on Jun 7, 2010.