Organization
UTAH YOUTH VILLAGE
Active
Other names
Alpine Academy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BJORKLUND (PRESIDENT)
(801) 272-9980
Entity
Organization
Contact information
Practice address
5800 HIGHLAND DR, SALT LAKE CITY, UT 84121-1359
(801) 272-9980
(801) 272-9976
Mailing address
5800 HIGHLAND DR, SALT LAKE CITY, UT 84121-1359
(801) 272-9980
(801) 272-9976
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12081
UT
251B00000X
Case Management Agency
12081
UT
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
12070-12073,12082-83
UT
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
12080
UT
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
12124-25,12489
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788007788668
—
UT
Enumeration date
03/07/2007
Last updated
09/11/2025
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