NPI 1013249713

Elements Wilderness Program

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Huntington, UT

Practice location

Address: 130 N Main Street, Huntington, UT 84528
Phone: (801) 712-3372
Mailing address: 5807 Fontaine Bleu Dr, Salt Lake City, UT 84121-1819

Authorised official

Name: Mary Covington
Title: Insurance Consultant
Phone: (801) 466-3838

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 15403 (UT)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Utah →

Registry record

NPI: 1013249713
Entity type: Organization
NPI issued: 4 Feb 2010
Record last updated: 4 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.