# KIDS BEHAVIORAL HEALTH OF ALASKA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Copper Hills Youth Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467648402
- **Authorized official:** MR. MIKE ROWLEY CSW (CEO)
- **Authorized official phone:** (801) 561-3377

## Contact information

- **Practice address:** 5899 RIVENDELL DR, WEST JORDAN, UT 84088-5700
- **Practice address phone:** (801) 561-3377
- **Practice address fax:** (801) 569-3274
- **Mailing address:** 5899 RIVENDELL DR, WEST JORDAN, UT 84088-5700
- **Mailing address phone:** (801) 561-3377
- **Mailing address fax:** (801) 569-3274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 13093 | UT | Yes |

## Other

- **Enumeration date:** 09/24/2007
- **Last updated:** 09/24/2007