Healthcare Provider Details

I. General information

NPI: 1407020308
Provider Name (Legal Business Name): UTAH FAMILY INSTITUTE, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 04/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1471 N 1200 W
OREM UT
84057-2449
US

IV. Provider business mailing address

1471 N 1200 W
OREM UT
84057-2449
US

V. Phone/Fax

Practice location:
  • Phone: 801-802-9464
  • Fax: 801-802-7861
Mailing address:
  • Phone: 801-802-9464
  • Fax: 801-802-7861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number13426
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number13426
License Number StateUT

VIII. Authorized Official

Name: DR. DARIN ROMNEY FEATHERSTONE
Title or Position: CLINICAL DIRECTOR/OWNER
Credential: PH.D.
Phone: 801-802-9464