National Provider Identifier Database

CROSS CREEK MANOR
Substance Abuse Treatment, Children

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.


Contact Information

CROSS CREEK MANOR
50 S STATE ST
LA VERKIN, UT84745-5443
Phone: 435-635-2390
Fax: 435-635-2778
Website:
Specialty Taxonomy Code
* Substance Abuse Treatment, Children 3245S0500X
Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

* Indicates primary specialty

NPI Profile & details for CROSS CREEK MANOR

NPI Number 1780900464
Legal business name
LBN
CROSS CREEK MANOR
Authorized official DERRICK ESPLIN - (CPA)
Entity Organization
Organization subpart No
Enumeration date 04/20/2010
Last updated 04/20/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers n/a

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 CROSS CREEK MANOR

There are currently no reviews for CROSS CREEK MANOR


NPIdb - Home
v2.201