Windgate Wilderness Therapy, LLC

NPI #1275787251 in Kanab, Utah

Provider Information

NPI Number
1275787251
Entity Type
Organization
Organization Name
Windgate Wilderness Therapy, LLC
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Nov 4, 2008
Last Updated
Nov 4, 2008

Practice Location

Address
1739 S HIGHWAY 89A
Address 2
BUILDING A
City
Kanab
State
Utah
ZIP Code
84741-3957
Phone
(435) 817-1574

Authorized Official

Name
TIM DUPELL
Title
MAJORITY PARTNER
Phone
(503) 585-1862

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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