Blue Sage Youth Services

NPI #1265632939 in Manti, Utah

Provider Information

NPI Number: 1265632939
Entity Type: Organization
Organization Name: Blue Sage Youth Services
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Jul 20, 2007
Last Updated: Jul 20, 2007

Practice Location

Address: 580 WEST 1500 SOUTH
City: Manti
State: Utah
ZIP Code: 84648
Phone: (435) 835-4053

Authorized Official

Name: MR. KELLY C. HUSBANDS, MSW
Title: PROGRAM DIRECTOR
Phone: (435) 835-4053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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