Teen Discovery Home
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Gunnison, UT
NPI 1982011649 · NPPES record last updated Jul 15, 2014
Key facts
- NPI
- 1982011649
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- License
- 8293 (UT)
- Legal business name
- TEEN DISCOVERY HOME
- Practice address
- 10 East 100 South
Gunnison, UT 84634 - Phone
- (435) 528-7400
- NPI assigned
- Jul 15, 2014
- Organization subpart
- No
Authorized official
- Name
- Ms. Charlotte M Diamond
- Title
- Owner/Program Director
- Phone
- (435) 749-0966
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 8293 | UT | Yes |
Addresses
Primary practice location
10 East 100 South
Gunnison, UT 84634
Mailing address
PO Box 101
Gunnison, UT 84634-0101
Phone (435) 528-7400
Other providers in Gunnison, UT
- Shawn Sorensen
- Stanton a. Bailey MD, PLLC
- Jessica Stevens
- Alyssia Stevenson
- Kathryn Taylor
- Therapy West LLC
- Therapy West Rehab Agency LLC
- Myrissa L Thomas
- Brian Thompson
- Amie Sue Tucker
All providers in Gunnison, 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 Jul 15, 2014. 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.