ELEMENTS WILDERNESS PROGRAM – NPI #1013249713
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Emotionally Disturbed Children

ELEMENTS WILDERNESS PROGRAM is a residential treatment facility located in HUNTINGTON, UT. NPPES has assigned the NPI number 1013249713 to ELEMENTS WILDERNESS PROGRAM on February 04, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELEMENTS WILDERNESS PROGRAM below.

NPI Profile for
ELEMENTS WILDERNESS PROGRAM

NPI Number
1013249713
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELEMENTS WILDERNESS PROGRAM
Primary location
130 N MAIN STREET
HUNTINGTON, UT 84528
Phone: (801) 712-3372 Fax:
Mailing address
5807 FONTAINE BLEU DR
SALT LAKE CITY, UT 84121-1819
Phone: (801) 712-3372 Fax:
Organization Subpart
No
Authorized Official
MARY COVINGTON
INSURANCE CONSULTANT
Phone: (801) 466-3838
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)		 UT 15403

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.