Northstar Youth Academy LLC
Northstar Youth Academy LLC is a Children's Substance Abuse Rehabilitation Facility in Provo, Utah. Licensed in Utah. Registered with an NPI since 2006.
- Licensed in
- UT
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
900 Columbia LnProvo, UT 84604-1320
Phone: (801) 787-6194
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Children's Substance Abuse Rehabilitation Facility (primary) | Taxonomy 3245S0500X · Licence 11932 (UT) |
|---|
Record details
| NPI number | 1780782508 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Banks Bourgeous — Co-Founder · (801) 369-4466 |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 920 Columbia Ln, Provo, UT 84604-1320 |
Other providers in Provo
-
Provo House of Hope
1726 Buckley Ln, Provo, UT 84606-5031 · (801) 373-6562