Willow Creek School LLC

NPI #1841367935 in Provo, Utah

Provider Information

NPI Number: 1841367935
Entity Type: Organization
Organization Name: Willow Creek School LLC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Nov 30, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1530 S 500 W
City: Provo
State: Utah
ZIP Code: 84601-6014
Phone: (801) 377-2215

Authorized Official

Name: MR. MARK WARD
Title: EXECUTIVE DIRECTOR
Phone: (801) 377-2215

Specialties & Taxonomy Codes

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

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