# UTAH YOUTH VILLAGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184939928
- **Authorized official:** TALON GREEF (PROGAM DIRECTOR)
- **Authorized official phone:** (801) 272-9980

## Contact information

- **Practice address:** 4388 HARVEST CREEK WAY, RIVERTON, UT 84096-6902
- **Practice address phone:** (801) 432-7808
- **Mailing address:** 5800 HIGHLAND DR, SALT LAKE CITY, UT 84121-1359

## Taxonomy

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

## Other

- **Enumeration date:** 08/17/2010
- **Last updated:** 08/17/2010
