National Provider Identifier Database

KIDS BEHAVIORAL HEALTH OF UTAH INC
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

KIDS BEHAVIORAL HEALTH OF UTAH, INC
5899 RIVENDELL DR
WEST JORDAN, UT84088-5700
Phone: 801-561-3377
Fax: 801-569-3274
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Psychiatric Residential Treatment Facility 323P00000X

* Indicates primary specialty

NPI Profile & details for KIDS BEHAVIORAL HEALTH OF UTAH, INC

NPI Number 1649380593
Legal business name
LBN
KIDS BEHAVIORAL HEALTH OF UTAH, INC
Authorized official STEVE FILTON - (SRVPCFO)
Entity Organization
Organization subpart Yes
Enumeration date 08/30/2006
Last updated 03/30/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 11944
  • AK Medicaid: HS825PI
  • AZ Medicaid: 596661
  • ND Medicaid: 55513
  • NM Medicaid: 98139363
  • NV Medicaid: 006388500
  • WY Medicaid: 117906300

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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