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Organization
KIDS BEHAVIORAL HEALTH OF ALASKA, INC.
Active
Organization
KIDS BEHAVIORAL HEALTH OF ALASKA, INC.
Active
Other names
Copper Hills Youth Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE ROWLEY CSW (CEO)
(801) 561-3377
Entity
Organization
Contact information
Practice address
5899 RIVENDELL DR, WEST JORDAN, UT 84088-5700
(801) 561-3377
(801) 569-3274
Mailing address
5899 RIVENDELL DR, WEST JORDAN, UT 84088-5700
(801) 561-3377
(801) 569-3274
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
13093
UT
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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