Skyline Treatment
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Moroni, UT
NPI 1285021055 · NPPES record last updated Jun 19, 2015
Key facts
- NPI
- 1285021055
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- Legal business name
- SKYLINE TREATMENT
- Practice address
- 21260 North 1450 East
Moroni, UT 84646-0383 - Phone
- (435) 851-6821
- NPI assigned
- Apr 20, 2015
- Organization subpart
- No
Authorized official
- Name
- Mr. Paul Bailey
- Title
- Manager
- Phone
- (435) 851-6821
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | UT | Yes |
Addresses
Primary practice location
21260 North 1450 East
Moroni, UT 84646-0383
Mailing address
21260 North 1450 East
Moroni, UT 84646-0383
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1 | Medicaid | UT |
Other providers in Moroni, UT
- Michael Schuhmann
- Serenity Medical Rides
- Alejandro Serrano
- Mackay Dale Shelley
- Robert Duane Simonson
- Christopher A Stapleton
- David Benjamin Tanner
- Julio C. Tapia Fernandez
- Brent Taylor
- Jered Taylor
All providers in Moroni, UT · Emotionally Disturbed Childrens' Residential Treatment Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.