OrganizationActive
Trevor Hansen
NPI 1699199935 · Emotionally Disturbed Childrens' Residential Treatment Facility · Moroni, UT
Provider details
- NPI number
- 1699199935
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Paul Bailey, Owner(435) 851-6821
Specialties & taxonomies
Residential Treatment Facilities
Practice location
21260 N. 1450 E.
Moroni, UT 84646-0383
Phone: (435) 851-6821
Approximate (ZIP-level) locationGet directions
Mailing address
21260 N. 1450 E.
Moroni, UT 84646-0383
Registry dates
- Enumerated
- 2014-02-06
- Last updated
- 2014-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.