NPI 1366873440

Synergy Youth Treatment

Organisation Mental Illness Community Based Residential Treatment Facility Cornish, UT

Practice location

Address: 4473 W 13400 N, Cornish, UT 84308-1743
Phone: (435) 213-3123

Authorised official

Name: Eliza Cothran
Title: Cfo
Phone: (435) 213-3123

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 256 (UT)

Other Community Based Residential Treatment Facility, Mental Illness providers in Utah →

Registry record

NPI: 1366873440
Entity type: Organization
NPI issued: 27 Nov 2013
Record last updated: 29 Mar 2017

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.