Uinta Academy Rtc, LLC

NPI #1518460369 in Wellsville, Utah

Provider Information

NPI Number
1518460369
Entity Type
Organization
Organization Name
Uinta Academy Rtc, LLC
Primary Specialty
Psychiatric Residential Treatment Facility
Enumeration Date
Mar 16, 2018
Last Updated
Mar 17, 2018

Practice Location

Address
3746 S 4800 W
State
Utah
ZIP Code
84339-9785
Phone
(435) 245-2600

Authorized Official

Name
MR. RUSSEL PRYOR, L.C.S.W.
Title
EXECUTIVE DIRECTOR
Phone
(435) 890-2857

Specialties & Taxonomy Codes

Specialty
Psychiatric Residential Treatment Facility

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