Northstar Youth Academy Llc

LBN: Northstar Youth Academy Llc
Northstar Youth Academy Llc is an health care organization with primary practice located at 900 Columbia Ln , Provo UT 84604-1320. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Treatment, Children, which is considered as the primary health care specialty. Northstar Youth Academy Llc can be contacted via phone (801) 787-6194, or through Bourgeous, Banks via phone (801) 369-4466.

Contact Information

Primary practice address
900 Columbia Ln Provo UT 84604-1320
Phone: (801) 787-6194
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bourgeous, Banks
Phone: (801) 369-4466

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X 11932 Utah

Profile Details

NPI number 1780782508
LBN Legal business name Northstar Youth Academy Llc
DBA Doing business as
Authorized official Bourgeous, Banks
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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