Waterfall Canyon Academy, Inc.

NPI #1407088917 in Ogden, Utah

Provider Information

NPI Number
1407088917
Entity Type
Organization
Organization Name
Waterfall Canyon Academy, Inc.
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Aug 17, 2009
Last Updated
Aug 17, 2009

Practice Location

Address
818 N 950 E
City
Ogden
State
Utah
ZIP Code
84404-3866
Phone
(801) 399-1402

Authorized Official

Name
RICHARD DIMICK
Title
PRESIDENT
Phone
(801) 621-3901

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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