Organization · Type 2 NPI

Cross Creek Manor, LLC

Emotionally Disturbed Childrens' Residential Treatment Facility · La Verkin, UT

NPI number 1356476873 Active

Practice location

150 N State St
La Verkin, UT 84745-5503

Fax (435) 635-2778

Mailing address

50 S State St
La Verkin, UT 84745-5400

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X12143 (UT)
Psychiatric Residential Treatment Facility 323P00000X12145 (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.

2 other providers at this address

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About NPI 1356476873

Cross Creek Manor, LLC's National Provider Identifier is 1356476873, issued on Feb 23, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in La Verkin, UT. The record was last updated on Sep 11, 2025.