NPI Index

MAKANA LEADERSHIP ACADEMY

Clinic/Center - Adolescent and Children Mental Health

Active Organization
NPI: 1467077750

Practice Address

4270 W 5625 N
Roosevelt, UT 84066

Phone: (435) 353-4498

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X No -
Meals 174200000X No -
Lodging 177F00000X No -
Case Management 251B00000X No -
Intermediate Care Facility, Mental Illness 310500000X No -
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X No -
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children 3245S0500X No -
Clinic/Center - Adolescent and Children Mental Health 261QM0855X Yes -

Frequently Asked Questions

NPI 1467077750 is the National Provider Identifier for MAKANA LEADERSHIP ACADEMY, a Clinic/Center - Adolescent and Children Mental Health provider located in Roosevelt, UT. This NPI was enumerated on June 11, 2020.

Quick Facts

NPI
1467077750
Type
Organization
Enumerated
Jun 11, 2020
Last Updated
Jun 11, 2020

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