Blue Peak Acadmey for Young Women

NPI #1275853855 in Koosharem, Utah

Provider Information

NPI Number: 1275853855
Entity Type: Organization
Organization Name: Blue Peak Acadmey for Young Women
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Jun 7, 2010
Last Updated: Jun 7, 2010

Practice Location

Address: 525 N 100 W
City: Koosharem
State: Utah
ZIP Code: 84744-0369
Phone: (435) 638-7476

Authorized Official

Name: DR. ELL B SORENON
Title: OWNER
Phone: (435) 638-7476

Specialties & Taxonomy Codes

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

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