Organization
CAREVOY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER M OLSEN (EXECUTIVE DIRECTOR)
(801) 413-7784
Entity
Organization
Contact information
Practice address
50 S STATE ST, LA VERKIN, UT 84745-5443
(801) 413-7784
Mailing address
50 S STATE ST, LA VERKIN, UT 84745-5443
(801) 413-7784
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
60981
UT
261QM0855X
Adolescent and Children Mental Health Clinic/Center
54661
UT
282NC2000X
Children's Hospital
Primary
60981
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54661
INTENSIVE OUTPATIENT
UT
01
—
60981
DAY TREATMENT
UT
Enumeration date
07/02/2018
Last updated
07/02/2018
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