| NPI | 1144868100 |
|---|---|
| Doing Business As | VIVE ADOLESCENT CARE |
| Entity Type | Organization |
| Authorized Contact | JUSTIN DAY Co Founder/Executive Director 435-703-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| 273Y00000X Rehabilitation Unit | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 283X00000X Rehabilitation Hospital | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2021-02-23 |