National Provider Identifier Database

BLUE SAGE YOUTH SERVICES
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

BLUE SAGE YOUTH SERVICES
580 WEST 1500 SOUTH
MANTI, UT84648
Phone: 435-835-4053
Fax:
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

* Indicates primary specialty

NPI Profile & details for BLUE SAGE YOUTH SERVICES

NPI Number 1265632939
Legal business name
LBN
BLUE SAGE YOUTH SERVICES
Authorized official KELLY HUSBANDS - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/20/2007
Last updated 07/20/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 12439

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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