OrganizationActive
Second Chances in Southern Utah, LLC
NPI 1023414182 · Psychiatric Residential Treatment Facility · Laverkin, UT
Provider details
- NPI number
- 1023414182
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Adam Ahquin, Executive Director/Owner(435) 669-6669
- License
- 8035 (UT)
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
591 North State
Laverkin, UT 84745-8040
Phone: (435) 669-6669
Fax: (435) 571-0374
Street-level locationGet directions
Mailing address
Po Box 354
Laverkin, UT 84745-8040
Registry dates
- Enumerated
- 2014-11-17
- Last updated
- 2020-08-19
- Certified
- 2020-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.