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Organization

KIDS BEHAVIORAL HEALTH OF UTAH, INC

Active
Parent organization
UHS OF DELAWARE, INC
Other names
Copper Hills Youth Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
UHS OF DELAWARE, INC
Authorized official
STEVE FILTON (SRVPCFO)
(610) 738-3300
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
11944
UT
323P00000X
Psychiatric Residential Treatment Facility
11944
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006388500
NV
05
117906300
WY
05
55513
ND
05
596661
AZ
05
98139363
NM
05
HS825PI
AK
Enumeration date
08/30/2006
Last updated
03/30/2011
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