Logan River Academy, LLC

NPI #1427326933 in Logan, Utah

Provider Information

NPI Number: 1427326933
Entity Type: Organization
Organization Name: Logan River Academy, LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Dec 12, 2011
Last Updated: Dec 12, 2011

Practice Location

Address: 1683 S HWY 89
City: Logan
State: Utah
ZIP Code: 84321-6212
Phone: (435) 755-8400

Authorized Official

Name: MRS. LORAINE CONNIN
Title: DIRECTOR OF FINANCE
Phone: (435) 755-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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