NPI 1023414182

Second Chances in Southern Utah, LLC

Organisation Psychiatric Residential Treatment Facility Laverkin, UT

Practice location

Address: 591 North State, Laverkin, UT 84745-8040
Phone: (435) 669-6669
Fax: (435) 571-0374
Mailing address: PO Box 354, Laverkin, UT 84745-8040

Authorised official

Name: Adam Michael Ahquin
Title: Executive Director/Owner
Phone: (435) 669-6669

Registered specialties (3)

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Utah →

Emotionally Disturbed Childrens' Residential Treatment Facility

Residential Treatment Facilities Taxonomy 322D00000X Licence 8035 (UT)

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

Psychiatric Residential Treatment Facility

Residential Treatment Facilities Taxonomy 323P00000X Licence 8035 (UT)

Registry record

NPI: 1023414182
Entity type: Organization
NPI issued: 17 Nov 2014
Record last updated: 19 Aug 2020

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.