institution
Extended Family, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Spanish Fork, Utah
NPI 1215068267

Extended Family, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Spanish Fork, UT. Extended Family, Inc. practices in Spanish Fork, UT. The NPI Number for Extended Family, Inc. is 1215068267 and holds a License No. 12040 (Utah).

The current practice location address for Extended Family, Inc. is 704 N State Road 51, Spanish Fork, UT and can be reached out via phone at 801-794-0318 and via fax at 801-794-9514.

Location: 704 N State Road 51, Spanish Fork, UT, 84660-1385
institution
Provider Profile Details
NPI Number
1215068267
Provider Name
Extended Family, Inc.
Credential
Provider Entity Type
Organization
Address
704 N State Road 51, Spanish Fork, UT, 84660-1385
Phone Number
801-794-0318
Fax Number
801-794-9514
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
788007788033 05 UT
institution
Provider Business Practice Location Address Details
Address
704 N State Road 51
City
State
Zip
84660-1385
Phone Number
801-794-0318
Fax Number
801-794-9514
person
Provider Business Mailing Address Details
Address
704 N State Road 51
City
State
Zip
84660-1385
Phone Number
801-794-0318
Fax Number
801-794-9514
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
12040 (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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