TEEN DISCOVERY HOME (NPI# 1982011649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982011649 |
| Entity Type | Organization |
| Organization Name | TEEN DISCOVERY HOME |
| Practice Address |
10 East 100 South Gunnison UT 84634 |
| Mailing Address |
Po Box 101 Gunnison UT 84634-0101 |
| Practice Telephone | 4355287400 |
| Mailing Telephone | 4355287400 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |
| Authorized Official Name | MS. CHARLOTTE M DIAMOND (OWNER/PROGRAM DIRECTOR) |
| Authorized Official Telephone | 4357490966 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 8293 | UT | Residential Treatment Facilities |
| Street Address |
10 EAST 100 SOUTH |
| City | GUNNISON |
| State | UT |
| Zip Code | 84634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659863504 | Jace Edward Anderson | Occupational Therapist | 13 E. Center Street, Gunnison, UT 84634 | 2018-06-05 |
| 1225526957 | Hillary May Palmer | Occupational Therapist | 13 E Center St., Gunnison, UT 84634 | 2018-04-27 |
| 1053844753 | Elite Ankle and Foot Pllc | Podiatrist | 39 E Center Street, Gunnison, UT 84634 | 2017-04-10 |
| 1679954499 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 38 West Center Street, Gunnison Civic Library, Gunnison, UT 84634 | 2015-06-17 |
| 1932598166 | Arch Health and Wellness LLC | Chiropractor | 34 East 100 North, Gunnison, UT 84634 | 2015-01-12 |
| 1982039590 | G Thrift Corporation Inc | Pharmacy | 520 S Main, Gunnison, UT 84634 | 2013-09-13 |
| 1528321627 | Scott Joseph Walker | Family Medicine | 65 E. 100 N., Gunnison, UT 84634 | 2012-06-22 |
| 1124313507 | Matthew Brian Barney | Physical Therapist | 13 E Center St, Gunnison, UT 84634 | 2011-06-14 |
| 1922285261 | Rhonda Elaine Stewart | Counselor | 255e 300n, Gunnison, UT 84634 | 2008-01-29 |
| 1497878409 | Stanton A. Bailey Md, Pllc | Obstetrics & Gynecology | 79 E. Center St., Gunnison, UT 84634 | 2007-04-06 |
| Find all providers in zip 84634 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013167 | Elevated Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 10928 S Eureka Dune Dr, South Jordan, UT 84009-4173 | 2020-11-04 |
| 1003430133 | Cascade Academy | Residential Treatment Facility, Emotionally Disturbed Children | 430 W 200 N, Midway, UT 84049 | 2020-06-04 |
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1083107320 | Red Circle Lodge, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 930 N Memorial St, Hildale, UT 84784 | 2018-06-12 |
| 1023560679 | Meridian Mentoring | Residential Treatment Facility, Emotionally Disturbed Children | 635 South Main St., Orangeville, UT 84537 | 2016-10-31 |
| 1720456981 | Gateway Academy, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 941 E Cattail Dr, Draper, UT 84020-8583 | 2015-09-04 |
| 1033592290 | Keystone Family Support, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2558 Valley View Dr, Layton, UT 84040-7654 | 2015-07-07 |
| 1285033977 | Utah Family Care LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3575 S 3200 W Apt 6c, West Valley City, UT 84119-3571 | 2014-08-19 |
| 1245663947 | South Pointe Youth | Residential Treatment Facility, Emotionally Disturbed Children | 1500 South 580 West, Manti, UT 84642-0314 | 2013-08-16 |
| 1508207630 | Discovery Ranch for Girls | Residential Treatment Facility, Emotionally Disturbed Children | 4928 N 4500 W, Cedar City, UT 84721-5632 | 2013-07-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.