Organization
OLYMPUS ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH AHQUIN SR. (EXECUTIVE DIRECTOR)
(435) 229-4889
Entity
Organization
Contact information
Practice address
1500 E 2700 S, HURRICANE, UT 84737-4000
(435) 229-4889
(801) 386-5482
Mailing address
1500 E 2700 S, HURRICANE, UT 84737-4000
(435) 229-4889
(801) 386-5482
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
6600
UT
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
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