OrganizationActive
Black Shirt Services
NPI 1942748249 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lehi, UT
Provider details
- NPI number
- 1942748249
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jason Hoke, Executive Director(385) 539-0035
- License
- 102119070160 (UT)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 102119070160 (UT)
Residential Treatment Facilities
Practice location
513 S 3040 W
Lehi, UT 84043-5636
Phone: (385) 539-0035
Fax: (385) 448-5123
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1008
Lehi, UT 84043-7008
Registry dates
- Enumerated
- 2017-02-07
- Last updated
- 2017-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.