Organization · Type 2 NPI
Black Shirt Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lehi, UT
Practice location
513 S 3040 W
Lehi, UT 84043-5636
Fax (385) 448-5123
Mailing address
PO Box 1008
Lehi, UT 84043-7008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 102119070160 (UT) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Lehi
About NPI 1942748249
Black Shirt Services's National Provider Identifier is 1942748249, issued on Feb 7, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Lehi, UT. The record was last updated on Feb 7, 2017.