OrganizationActive
Children & Youth Services, Inc.
NPI 1871621920 · Emotionally Disturbed Childrens' Residential Treatment Facility · West Jordan, UT
Provider details
- NPI number
- 1871621920
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Kenneth Allen, Executive Director
- License
- 11270 (UT)
Practice location
5500 Bagley Park Rd
West Jordan, UT 84088-5697
Phone: (801) 282-1000
Mailing address
5500 Bagley Park Rd
West Jordan, UT 84088-5697
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.