Aegis Youth, Llc in Provo - Community Based Residential Treatment Facility, Mental Illness
Aegis Youth, Llc - NPI 1851564165
Aegis Youth, Llc is a Community Based Residential Treatment Facility, Mental Illness in Provo, Utah. Aegis Youth, Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Aegis Youth, Llc is 1851564165. The last update date is 2008-04-08.
Aegis Youth, Llc's current location address is 982 W 910 S, Provo, Utah. You can contact this provider via phone number 8016363816. The mailing address for Aegis Youth, Llc is 982 W 910 S, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Aegis Youth, Llc |
|---|---|
| Address | 982 W 910 S, Provo, Utah |
| Phone Number | 8016363816 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Cooper Kennon Ashley |
| Telephone Number | 8016363816 |
NPI Number Detail
| NPI Number | 1851564165 |
|---|---|
| Provider Enumeration Date | 2008-04-08 |
| Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
| Address | 982 W 910 S |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846015634 |
| Phone Number | 8016363816 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 13427 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13427 | UT | DEPT OF HUMAN SERVICES |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Aegis Youth, Llc by the Centers for Medicare & Medicaid Services?
The Aegis Youth, Llc has been assigned the NPI (National Provider Identifier) 1851564165 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Aegis Youth, Llc is geographically located?
The Aegis Youth, Llc is physically situated at the following location: 982 W 910 S, Provo, UT, 846015634.
What is Aegis Youth, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Aegis Youth, Llc is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy classification code for this specialized field is 320800000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851564165 to Aegis Youth, Llc?
The Centers for Medicare & Medicaid Services assigned the 1851564165 to Aegis Youth, Llc on 2008-04-08.
When was the Aegis Youth, Llc's information last updated?
The Aegis Youth, Llc's information was last updated on 2008-04-08.
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