Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maple Lake Academy for Boys

Organization Psychiatric Residential Treatment Facility · NPI 1568900116

Maple Lake Academy for Boys is a Psychiatric Residential Treatment Facility in Benjamin, Utah. Licensed in Utah. Registered with an NPI since 2017.

Licensed in
UT
In the registry since
2017

Practice location Address checks out

6612 S 3200 W
Benjamin, UT 84660-4123
Phone: (801) 798-7700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Residential Treatment Facility (primary) Taxonomy 323P00000X · Licence 18290 (UT)

Record details

NPI number1568900116
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Margo Vane — Office Manager · (801) 798-7700
NPI enumeratedFebruary 3, 2017
Last updated in NPPESFebruary 3, 2017
Mailing address6612 S 3200 W, Benjamin, UT 84660-4123