# OLYMPUS ACADEMY

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

## Provider details

- **NPI number:** 1255751558
- **Authorized official:** MR. JOSEPH AHQUIN SR. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (435) 229-4889

## Contact information

- **Practice address:** 1500 E 2700 S, HURRICANE, UT 84737-4000
- **Practice address phone:** (435) 229-4889
- **Practice address fax:** (801) 386-5482
- **Mailing address:** 1500 E 2700 S, HURRICANE, UT 84737-4000
- **Mailing address phone:** (435) 229-4889
- **Mailing address fax:** (801) 386-5482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | 8066 | UT | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 8067 | UT | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 8067 | UT | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | 8067 | UT | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | 6600 | UT | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 6600 | UT | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 8066 | UT | — |
| 323P00000X | Psychiatric Residential Treatment Facility | 8066 | UT | — |
| 323P00000X | Psychiatric Residential Treatment Facility | 8067 | UT | — |
| 324500000X | Substance Abuse Rehabilitation Facility | 6600 | UT | — |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | 6600 | UT | — |

## Other

- **Enumeration date:** 04/24/2014
- **Last updated:** 06/12/2014
