Equine Journeys, LLC

NPI #1700168374 in Loa, Utah

Provider Information

NPI Number: 1700168374
Entity Type: Organization
Organization Name: Equine Journeys, LLC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Sep 9, 2011
Last Updated: Sep 9, 2011

Practice Location

Address: 14 NORTH MAIN STREET
City: Loa
State: Utah
ZIP Code: 84747
Phone: (435) 836-2535

Authorized Official

Name: BRANDON M BURR, LCSW
Title: CLINICAL DIRECTOR
Phone: (435) 836-2535

Specialties & Taxonomy Codes

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

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