NPI 1396098190

Heritage Youth Servicers

Organisation Mental Illness Community Based Residential Treatment Facility Birdseye, UT

Practice location

Address: 19675 S. Highway 89, Birdseye, UT 84629
Phone: (801) 873-3270
Mailing address: 31 E 1600 N, Spanish Fork, UT 84660-1011

Authorised official

Name: Teresa Cope
Title: Program Manager
Phone: (801) 873-3270

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

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

Registry record

NPI: 1396098190
Entity type: Organization
NPI issued: 18 Oct 2012
Record last updated: 18 Oct 2012

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.