National Provider Identifier Database

YOUTH HEALTH ASSOCIATES INC
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

YOUTH HEALTH ASSOCIATES, INC.
520 N MARKET PLACE DR STE 100
CENTERVILLE, UT84014-4902
Phone: 801-330-8845
Fax: 801-683-8962
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Mental Illness 320800000X
Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X

* Indicates primary specialty

NPI Profile & details for YOUTH HEALTH ASSOCIATES, INC.

NPI Number 1407875750
Legal business name
LBN
YOUTH HEALTH ASSOCIATES, INC.
Authorized official SHAYNE MILLER - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 07/18/2006
Last updated 08/01/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • UT Medicaid: 788007788928

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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