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Trevor Hansen
Emotionally Disturbed Childrens' Residential Treatment Facility in Moroni, Utah
NPI 1699199935

Trevor Hansen is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Moroni, UT. Trevor Hansen practices in Moroni, UT. The NPI Number for Trevor Hansen is 1699199935 and holds a License No. (Utah).

The current practice location address for Trevor Hansen is 21260 N. 1450 E., Moroni, UT and can be reached out via phone at 435-851-6821.

Location: 21260 N. 1450 E., Moroni, UT, 84646-0383
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699199935
Provider Name
Trevor Hansen
Credential
Provider Entity Type
Organization
Address
21260 N. 1450 E., Moroni, UT, 84646-0383
Phone Number
435-851-6821
Fax Number
Provider Enumeration Date
02/06/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000 05 UT
institution
Provider Business Practice Location Address Details
Address
21260 N. 1450 E.
City
Moroni
State
Utah
Zip
84646-0383
Phone Number
435-851-6821
Fax Number
person
Provider Business Mailing Address Details
Address
21260 N. 1450 E.
City
Moroni
State
Utah
Zip
84646-0383
Phone Number
435-851-6821
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
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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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