Organization
LIAHONA ACADEMY FOR YOUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON AH QUIN, JR. (DIRECTOR)
(435) 656-2227
Entity
Organization
Contact information
Practice address
385 WEST 600 NORTH, HURRICANE, UT 84737-5025
(435) 635-0740
(435) 656-2227
Mailing address
144 E 2580 SOUTH CIR, ST GEORGE, UT 84790-7493
(435) 656-2227
(435) 626-2228
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
10217
UT
323P00000X
Psychiatric Residential Treatment Facility
Primary
12758
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10217/13569
RESIDENTIAL TREATMENT CENTER
UT
01
—
14981
DAY TREATMENT CENTER
UT
01
—
15025
OUTPATIENT TREATMENT CENTER
UT
Enumeration date
03/10/2008
Last updated
12/20/2021
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