OrganizationActive
Blue Peak Acadmey for Young Women
NPI 1275853855 · Emotionally Disturbed Childrens' Residential Treatment Facility · Koosharem, UT
Provider details
- NPI number
- 1275853855
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ell Sorenon, Owner(435) 638-7476
- License
- 16303 (UT)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
525 N 100 W
Koosharem, UT 84744-0369
Phone: (435) 638-7476
Fax: (435) 638-7476
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 440369
Koosharem, UT 84744-0369
Registry dates
- Enumerated
- 2010-06-07
- Last updated
- 2010-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.