Whalio Doctors

NPI 1215642244

Kiva Adventure Ranch, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Toquerville, UT

Practice location

Address
652 N Shady Ln, Toquerville, UT 84774-7741
Phone
(435) 272-1492
Mailing address
PO Box 39, Toquerville, UT 84774-0039

Authorised official

Name
Lana Bauer
Title
Insurance Manager
Phone
(435) 592-1718

Registered specialties (4)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X

Registry record

NPI
1215642244
Entity type
Organization
NPI issued
13 Jan 2023
Record last updated
13 Jan 2023

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.