# UTAH YOUTH VILLAGE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** South Kearns Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134435464
- **Authorized official:** MR. ERIC BJORKLAND (PRESIDENT)
- **Authorized official phone:** (801) 631-6921

## Contact information

- **Practice address:** 5934 S 4800 W, KEARNS, UT 84118-6061
- **Practice address phone:** (801) 967-6325
- **Practice address fax:** (801) 967-9890
- **Mailing address:** 5800 HIGHLAND DR, SALT LAKE CITY, UT 84121-1359
- **Mailing address phone:** (801) 272-9980
- **Mailing address fax:** (801) 272-9976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2010
- **Last updated:** 08/24/2010