Kids Behavioral Health Of Alaska, Inc. in West Jordan - Residential Treatment Facility, Emotionally Disturbed Children

Kids Behavioral Health Of Alaska, Inc. - NPI 1467648402

Kids Behavioral Health Of Alaska, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in West Jordan, Utah. Kids Behavioral Health Of Alaska, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Kids Behavioral Health Of Alaska, Inc. is 1467648402. The last update date is 2007-09-24.

Kids Behavioral Health Of Alaska, Inc.'s current location address is 5899 Rivendell Dr, West Jordan, Utah. You can contact this provider via phone number 8015613377 and fax number 8015693274. The mailing address for Kids Behavioral Health Of Alaska, Inc. is 5899 Rivendell Dr, West Jordan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kids Behavioral Health Of Alaska, Inc.
Address 5899 Rivendell Dr, West Jordan, Utah
Phone Number 8015613377
Fax Number 8015693274
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Rowley Mike
Credentials CSW
Telephone Number 8015613377

NPI Number Detail

NPI Number 1467648402
Provider Enumeration Date 2007-09-24
Last Updated Date 2007-09-24

Provider Mailing Address Detail

Address 5899 Rivendell Dr
City West Jordan
State Utah (UT)
Post Code 840885700
Phone Number 8015613377
Fax Number 8015693274

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Licence No 13093
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
HS825PI AK --
596661 AZ --
98139363 NM --

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FAQs about Kids Behavioral Health Of Alaska, Inc.

What is the Kids Behavioral Health Of Alaska, Inc.'s unique identification number?

The Kids Behavioral Health Of Alaska, Inc. has been assigned the NPI (National Provider Identifier) Number 1467648402 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Kids Behavioral Health Of Alaska, Inc. is located?

The Kids Behavioral Health Of Alaska, Inc. is situated at the following address: 5899 Rivendell Dr, West Jordan, UT, 840885700.

What is Kids Behavioral Health Of Alaska, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kids Behavioral Health Of Alaska, Inc. is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy classification code for this specialized field is 322D00000X.

On what date did the Kids Behavioral Health Of Alaska, Inc. receive its 1467648402 assignment from the Centers for Medicare & Medicaid Services?

The Kids Behavioral Health Of Alaska, Inc. was assigned its 1467648402 by the Centers for Medicare & Medicaid Services on 2007-09-24.

When was the information related to Kids Behavioral Health Of Alaska, Inc. most recently updated or refreshed?

The details pertaining to the Kids Behavioral Health Of Alaska, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-24.

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