National Provider Identifier Database

TEEN DISCOVERY HOME
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

TEEN DISCOVERY HOME
10 EAST 100 SOUTH
GUNNISON, UT84634
Phone: 435-528-7400
Fax:
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

* Indicates primary specialty

NPI Profile & details for TEEN DISCOVERY HOME

NPI Number 1982011649
Legal business name
LBN
TEEN DISCOVERY HOME
Authorized official CHARLOTTE DIAMOND - (OWNER/PROGRAM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/15/2014
Last updated 07/15/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 8293

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.

Reviews for TEEN DISCOVERY HOME

There are currently no reviews for TEEN DISCOVERY HOME


NPIdb - Home
v2.201