OrganizationActive
Kids Behavioral Health of Alaska, Inc.
NPI 1467648402 · Emotionally Disturbed Childrens' Residential Treatment Facility · West Jordan, UT
Provider details
- NPI number
- 1467648402
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mike Rowley, Ceo(801) 561-3377
- License
- 13093 (UT)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
5899 Rivendell Dr
West Jordan, UT 84088-5700
Phone: (801) 561-3377
Fax: (801) 569-3274
Approximate (ZIP-level) locationGet directions
Mailing address
5899 Rivendell Dr
West Jordan, UT 84088-5700
Other names (DBA / former)
- Doing business as
- Copper Hills Youth Center
Registry dates
- Enumerated
- 2007-09-24
- Last updated
- 2007-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.