Kids Behavioral Health Of Alaska, Inc., NPI 1467648402
Emotionally Disturbed Childrens' Residential Treatment Facility in West Jordan, UT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1467648402
NPI Entity Type Organization
Provider Name Kids Behavioral Health Of Alaska, Inc.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 5899 Rivendell Dr, West Jordan, UT, US
Provider Mailing Address 5899 Rivendell Dr, West Jordan, UT, US, 840885700
Is Sole Proprietor? No
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Organization Official

Official Name MR. CSW Mike Rowley
Official Position CEO
Phone 801-561-3377

Primary Taxonomy

Taxonomy Code

322D00000X

Taxonomy Name Emotionally Disturbed Childrens' Residential Treatment Facility
Classification

Residential Treatment Facility, Emotionally Disturbed Children

Group

Residential Treatment Facilities

License No. 13093
License State UT
Description 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.

Other Organization Name

Copper Hills Youth Center
Doing Business As

Business Address

Kids Behavioral Health Of Alaska, Inc.
5899 Rivendell Dr

West Jordan, UT, US

Phone: 801-561-3377
Fax: 801-569-3274

Mailing Address

Kids Behavioral Health Of Alaska, Inc.
5899 Rivendell Dr
West Jordan, UT, US
ZIP 840885700
Phone: 801-561-3377
Fax: 801-569-3274

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
HS825PI AK MEDICAID 05
596661 AZ MEDICAID 05
98139363 NM MEDICAID 05

Other Providers in UT, US

NPI Name Taxonomy Address

1902227101

PA-S James Ritch Benson

Individual

Student in an Organized Health Care Education/Training Program

1116 S River View Dr

Spanish Fork, UT

1821593013

MD Cara Chaudhary

Individual

Internal Medicine Physician

324 E 10th Ave Ste 245

Salt Lake City, UT

1639894009

Zussette Sanchez

Individual

Case Manager/Care Coordinator

251 E 200 N

Saint George, UT

1962127324

Jared Rust

Individual

Behavior Technician

1970 W 7800 S

West Jordan, UT

1326763780

Brinleigh Bishop

Individual

Behavior Technician

1970 W 7800 S

West Jordan, UT

1346525474

FNP-C Robert Wilson Ralston

Individual

Family Nurse Practitioner

830 N 980 W

Orem, UT

1639815483

Utah Wound Care And Hyperbaric Center Llc

Organization

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician

209 E Gordon Ave Ste 1

Layton, UT

1720703184

Anna White

Individual

Behavior Technician

1970 W 7800 S

West Jordan, UT

1003531468

Gracie Gillman

Individual

Behavior Technician

1970 W 7800 S

West Jordan, UT

1407571854

Auriane Davis

Individual

Student in an Organized Health Care Education/Training Program

130 S Main St # 119a

Logan, UT

1467831263

Candice Yeaman

Individual

Mental Health Counselor

11075 S State St Ste 4

Sandy, UT

1073811071

Stephen Gordon Anderson

Individual

Marriage & Family Therapist

525 N 1080 E

Orem, UT

1023662400

PA Adam Christopher Garrett

Individual

Physician Assistant

1184 E 80 N

American Fork, UT

1396460721

Cole Mayoros

Individual

Community Health Worker

249 E Tabernacle St Ste 100

St George, UT

1497470827

Alayna Hill

Individual

Behavior Technician

1067 E Tabernacle St

St George, UT

1023733441

APRN Trisha Sears

Individual

Family Nurse Practitioner

4563 W Frary Rd

Syracuse, UT

1184349631

Empower You Therapy

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

12485 S 900 E

Draper, UT

1588389902

Damaris Villalobos

Individual

Community Health Worker

249 E Tabernacle St Ste 100

St George, UT

1760107189

Dylan Smart

Individual

Behavioral Analyst

8031 S 700 E

Sandy, UT

1609591007

Alexis Suzanne Goodwin

Individual

Behavior Technician

2025 S 50 W

Bountiful, UT

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