OrganizationActive
Elements Wilderness Program
NPI 1013249713 · Emotionally Disturbed Childrens' Residential Treatment Facility · Huntington, UT
Provider details
- NPI number
- 1013249713
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mary Covington, Insurance Consultant(801) 466-3838
- License
- 15403 (UT)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
130 N Main Street
Huntington, UT 84528
Phone: (801) 712-3372
Approximate (ZIP-level) locationGet directions
Mailing address
5807 Fontaine Bleu Dr
Salt Lake City, UT 84121-1819
Registry dates
- Enumerated
- 2010-02-04
- Last updated
- 2010-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.