Whalio Doctors

NPI 1063013167

Elevated Youth Services

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility South Jordan, UT

Practice location

Address
10928 S Eureka Dune Dr, South Jordan, UT 84009-4173
Phone
(801) 508-4756

Authorised official

Name
Nicholas B Browning
Title
Owner
Phone
(801) 907-5622

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X

Registry record

NPI
1063013167
Entity type
Organization
NPI issued
4 Nov 2020
Record last updated
4 Nov 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.