White River Academy

NPI #1306186234 in Delta, Utah

Provider Information

NPI Number: 1306186234
Entity Type: Organization
Organization Name: White River Academy
Primary Specialty: Psychiatric Residential Treatment Facility
Enumeration Date: Mar 1, 2013
Last Updated: Oct 16, 2025

Practice Location

Address: 275 W 100 S
City: Delta
State: Utah
ZIP Code: 84624-9238
Phone: (435) 659-2368

Authorized Official

Name: JUSTIN EDWARD NIELSON
Title: PROGRAM DIRECTOR
Phone: (435) 659-2368

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry	2084P0804X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychiatric Residential Treatment Facility	323P00000X	Primary

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