OrganizationActive
Synergy Youth Treatment
NPI 1366873440 · Mental Illness Community Based Residential Treatment Facility · Cornish, UT
Provider details
- NPI number
- 1366873440
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Eliza Cothran, Cfo(435) 213-3123
- License
- 256 (UT)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4473 W 13400 N
Cornish, UT 84308-1743
Phone: (435) 213-3123
Approximate (ZIP-level) locationGet directions
Mailing address
4473 W 13400 N
Cornish, UT 84308-1743
Registry dates
- Enumerated
- 2013-11-27
- Last updated
- 2017-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.