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Imperial Healing Estate
Children's Substance Abuse Rehabilitation Facility in Provo, Utah
NPI 1033606298

Imperial Healing Estate is a Children's Substance Abuse Rehabilitation Facility based in Bluffdale, UT and is specialized in Substance Abuse Treatment, Children. Imperial Healing Estate practices in Provo, UT. The NPI Number for Imperial Healing Estate is 1033606298 and holds a License No. (Utah).

The current practice location address for Imperial Healing Estate is 4194 Imperial Way, Provo, UT and can be reached out via phone at 385-312-0352.

Location: 4194 Imperial Way, Provo, UT, 84065-5183
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033606298
Provider Name
Imperial Healing Estate
Credential
Provider Entity Type
Organization
Address
4194 Imperial Way, Provo, UT, 84065-5183
Phone Number
385-312-0352
Fax Number
Provider Enumeration Date
04/13/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4194 Imperial Way
City
Provo
State
Utah
Zip
84604-5328
Phone Number
385-312-0352
Fax Number
person
Provider Business Mailing Address Details
Address
4194 Imperial Way
City
Provo
State
Utah
Zip
84604-5328
Phone Number
385-312-0352
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
323P00000X
License No.
()
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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