Organization
VIVE CARE
Active
Other names
Vive Adolescent Care
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DAY PMHNP-BC (CO-FOUNDER/EXECUTIVE DIRECTOR)
(435) 703-6470
Entity
Organization
Contact information
Practice address
120 W 1470 S, SAINT GEORGE, UT 84770-7581
(435) 922-0640
Mailing address
120 W 1470 S STE A, SAINT GEORGE, UT 84770-6798
(435) 703-6470
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
273R00000X
Psychiatric Hospital Unit
—
—
273Y00000X
Rehabilitation Hospital Unit
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
283X00000X
Rehabilitation Hospital
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/20/2019
Last updated
02/23/2021
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