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Elements Wilderness Program
Emotionally Disturbed Childrens' Residential Treatment Facility in Huntington, Utah
NPI 1013249713

Elements Wilderness Program is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Salt Lake City, UT. Elements Wilderness Program practices in Huntington, UT. The NPI Number for Elements Wilderness Program is 1013249713 and holds a License No. 15403 (Utah).

The current practice location address for Elements Wilderness Program is 130 N Main Street, Huntington, UT and can be reached out via phone at 801-712-3372.

Location: 130 N Main Street, Huntington, UT, 84121-1819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013249713
Provider Name
Elements Wilderness Program
Credential
Provider Entity Type
Organization
Address
130 N Main Street, Huntington, UT, 84121-1819
Phone Number
801-712-3372
Fax Number
Provider Enumeration Date
02/04/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 N Main Street
City
Huntington
State
Utah
Zip
84528
Phone Number
801-712-3372
Fax Number
person
Provider Business Mailing Address Details
Address
130 N Main Street
City
Huntington
State
Utah
Zip
84528
Phone Number
801-712-3372
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
15403 (Utah)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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