National Provider Identifier Database

ELEMENTS WILDERNESS PROGRAM
Residential Treatment Facility, Emotionally Disturbed Children

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.


Contact Information

ELEMENTS WILDERNESS PROGRAM
130 N MAIN STREET
HUNTINGTON, UT84528
Phone: 801-712-3372
Fax:
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

* Indicates primary specialty

NPI Profile & details for ELEMENTS WILDERNESS PROGRAM

NPI Number 1013249713
Legal business name
LBN
ELEMENTS WILDERNESS PROGRAM
Authorized official MARY COVINGTON - (INSURANCE CONSULTANT)
Entity Organization
Organization subpart No
Enumeration date 02/04/2010
Last updated 02/04/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 15403

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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