National Provider Identifier Database

HERITAGE YOUTH SERVICERS
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.


Contact Information

HERITAGE YOUTH SERVICERS
19675 S. HIGHWAY 89
BIRDSEYE, UT84629
Phone: 801-873-3270
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Mental Illness 320800000X

* Indicates primary specialty

NPI Profile & details for HERITAGE YOUTH SERVICERS

NPI Number 1396098190
Legal business name
LBN
HERITAGE YOUTH SERVICERS
Authorized official TERESA COPE - (PROGRAM MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/18/2012
Last updated 10/18/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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