Healthcare Provider Details
I. General information
NPI: 1407783012
Provider Name (Legal Business Name): RELAUNCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4037 W CIMARRON
CEDAR HILLS UT
84062-8518
US
IV. Provider business mailing address
4037 W CIMARRON
CEDAR HILLS UT
84062-8518
US
V. Phone/Fax
- Phone: 385-424-5216
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 322D00000X |
| Taxonomy | Emotionally Disturbed Childrens' Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JACOB
TAUTU
Title or Position: PARTNER
Credential:
Phone: 385-424-5216