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Northstar Youth Academy Llc
Children's Substance Abuse Rehabilitation Facility in Provo, Utah
NPI 1780782508

Northstar Youth Academy Llc is a Children's Substance Abuse Rehabilitation Facility based in Provo, UT and is specialized in Substance Abuse Treatment, Children. Northstar Youth Academy Llc practices in Provo, UT. The NPI Number for Northstar Youth Academy Llc is 1780782508 and holds a License No. 11932 (Utah).

The current practice location address for Northstar Youth Academy Llc is 900 Columbia Ln, Provo, UT and can be reached out via phone at 801-787-6194.

Location: 900 Columbia Ln, Provo, UT, 84604-1320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780782508
Provider Name
Northstar Youth Academy Llc
Credential
Provider Entity Type
Organization
Address
900 Columbia Ln, Provo, UT, 84604-1320
Phone Number
801-787-6194
Fax Number
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
900 Columbia Ln
City
Provo
State
Utah
Zip
84604-1320
Phone Number
801-787-6194
Fax Number
person
Provider Business Mailing Address Details
Address
900 Columbia Ln
City
Provo
State
Utah
Zip
84604-1320
Phone Number
801-787-6194
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
11932 (Utah)
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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