Active NPI
Sequel Youth Services of Red Rock Canyon
- Psychiatric Residential Treatment Facility
- St George, UT
National Provider Identifier
1437604329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- SEQUEL YOUTH SERVICES OF RED ROCK CANYON
- Doing business as
- Red Rock Canyon School
- Practice address
- 747 E Saint George Blvd
St George, UT 84770-3035 - Phone
- (435) 673-6111
- NPI assigned
- Aug 20, 2016
- Organization subpart
- Yes
- Parent organization
- CARE YOUTH CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mandy Moses
- Title
- Chief Program Officer/Evp
- Phone
- (256) 880-3339
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | Primary |
Addresses
Primary practice location
747 E Saint George Blvd
St George, UT 84770-3035
Mailing address
1131 Eagletree LN SW
Huntsville, AL 35801-6491
Phone (256) 880-3339
Other names 1
- Red Rock Canyon School
National Provider Directory
National Provider Directory- Part of
- Care Youth Corporation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542585600000",
"number": "1437604329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 EAGLETREE LN SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358016491",
"telephone_number": "256-880-3339",
"fax_number": "256-880-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 E SAINT GEORGE BLVD",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847703035",
"telephone_number": "435-673-6111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEQUEL YOUTH SERVICES OF RED ROCK CANYON",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CARE YOUTH CORPORATION",
"enumeration_date": "2016-08-20",
"last_updated": "2018-11-19",
"status": "A",
"authorized_official_last_name": "MOSES",
"authorized_official_first_name": "MANDY",
"authorized_official_title_or_position": "CHIEF PROGRAM OFFICER/EVP",
"authorized_official_telephone_number": "256-880-3339",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Red Rock Canyon School",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Red Rock Canyon School",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.