EXTENDED FAMILY BOYS, INC. – NPI #1689986457
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.

EXTENDED FAMILY BOYS, INC. is a residential treatment facility located in SPANISH FORK, UT. NPPES has assigned the NPI number 1689986457 to EXTENDED FAMILY BOYS, INC. on July 09, 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 EXTENDED FAMILY BOYS, INC. below.

NPI Profile for
EXTENDED FAMILY BOYS, INC.

NPI Number
1689986457
Enumeration Date

(about 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
EXTENDED FAMILY BOYS, INC.
Primary location
704 N STATE ROAD 51
SPANISH FORK, UT 84660-1385
Phone: (801) 794-0318 Fax: (801) 794-9514
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TERIE WIEDERHOLD
ADMINISTRATIVE DIRECTOR
Phone: (801) 794-0318
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)

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.