Bryce Canyon Academy of Utah, LLC

NPI #1457638587 in Parowan, Utah

Provider Information

NPI Number: 1457638587
Entity Type: Organization
Organization Name: Bryce Canyon Academy of Utah, LLC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Nov 3, 2011
Last Updated: Nov 3, 2011

Practice Location

Address: 580 N MAIN
City: Parowan
State: Utah
ZIP Code: 84761
Phone: (435) 477-9167

Authorized Official

Name: MR. TRAVIS GARY MILNE
Title: PRINCIPAL OF BOARD
Phone: (435) 669-4884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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