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Aegis Youth, Llc
Mental Illness Community Based Residential Treatment Facility in Provo, Utah
NPI 1851564165

Aegis Youth, Llc is a Mental Illness Community Based Residential Treatment Facility based in Provo, UT. Aegis Youth, Llc practices in Provo, UT. The NPI Number for Aegis Youth, Llc is 1851564165 and holds a License No. 13427 (Utah).

The current practice location address for Aegis Youth, Llc is 982 W 910 S, Provo, UT and can be reached out via phone at 801-636-3816.

Location: 982 W 910 S, Provo, UT, 84601-5634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851564165
Provider Name
Aegis Youth, Llc
Credential
Provider Entity Type
Organization
Address
982 W 910 S, Provo, UT, 84601-5634
Phone Number
801-636-3816
Fax Number
Provider Enumeration Date
04/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13427 01 UT DEPT OF HUMAN SERVICES
institution
Provider Business Practice Location Address Details
Address
982 W 910 S
City
Provo
State
Utah
Zip
84601-5634
Phone Number
801-636-3816
Fax Number
person
Provider Business Mailing Address Details
Address
982 W 910 S
City
Provo
State
Utah
Zip
84601-5634
Phone Number
801-636-3816
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
13427 (Utah)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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