OrganizationActive
Universal Healthservices Inc.
NPI 1073829057 · Emotionally Disturbed Childrens' Residential Treatment Facility · Orem, UT
Provider details
- NPI number
- 1073829057
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jeremy Cottle, Ceo(801) 229-1036
- License
- 126677-3902 (UT)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 126677-3902 (UT)
Residential Treatment Facilities
Practice location
1350 E 750 N
North Orem Medicaid
Orem, UT 84097-4345
Phone: (801) 227-2100
Approximate (ZIP-level) locationGet directions
Mailing address
1350 E 750 N
Orem, UT 84097-4345
Other names (DBA / former)
- Doing business as
- Provo Canyon School
Registry dates
- Enumerated
- 2010-08-27
- Last updated
- 2010-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.