Northstar Youth Academy Llc in Provo - Substance Abuse Treatment, Children
Northstar Youth Academy Llc - NPI 1780782508
Northstar Youth Academy Llc is a Substance Abuse Treatment, Children in Provo, Utah. Northstar Youth Academy Llc practices all healthcare services and medical treatments related to Substance Abuse Treatment, Children. The NPI Number for Northstar Youth Academy Llc is 1780782508. The last update date is 2022-07-21.
Northstar Youth Academy Llc's current location address is 900 Columbia Ln, Provo, Utah. You can contact this provider via phone number 8017876194. The mailing address for Northstar Youth Academy Llc is 900 Columbia Ln, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northstar Youth Academy Llc |
|---|---|
| Address | 900 Columbia Ln, Provo, Utah |
| Phone Number | 8017876194 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CO-FOUNDER |
|---|---|
| Authorized Official Name | Bourgeous Banks |
| Telephone Number | 8013694466 |
NPI Number Detail
| NPI Number | 1780782508 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 900 Columbia Ln |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846041320 |
| Phone Number | 8017876194 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Treatment, Children |
|---|---|
| Taxonomy | 3245S0500X |
| Licence No | 11932 |
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Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and su |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Northstar Youth Academy Llc by the Centers for Medicare & Medicaid Services?
The Northstar Youth Academy Llc has been issued the NPI (National Provider Identifier) 1780782508 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Northstar Youth Academy Llc is physically located?
The Northstar Youth Academy Llc is situated at the following address: 900 Columbia Ln, Provo, UT 846041320.
What is Northstar Youth Academy Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Northstar Youth Academy Llc is Substance Abuse Treatment, Children, and the taxonomy code that categorizes this field of expertise is 3245S0500X.
On what date did the Northstar Youth Academy Llc receive the assignment of its 1780782508 from the Centers for Medicare & Medicaid Services?
The Northstar Youth Academy Llc was issued its 1780782508 by the Centers for Medicare & Medicaid Services on 2006-09-20.
As of what date was the information pertaining to Northstar Youth Academy Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Northstar Youth Academy Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-21.