OrganizationActive
Aegis Youth, LLC
NPI 1851564165 · Mental Illness Community Based Residential Treatment Facility · Provo, UT
Provider details
- NPI number
- 1851564165
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Ashley Cooper, Owner
- License
- 13427 (UT)
Mailing address
982 W 910 S
Provo, UT 84601-5634
Registry dates
- Enumerated
- 2008-04-08
- Last updated
- 2008-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.