Maple Lake Academy
NPI #1932467495 in Spanish Fork, Utah
Provider Information
- NPI Number
- 1932467495
- Entity Type
- Organization
- Organization Name
- Maple Lake Academy
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- May 2, 2012
- Last Updated
- May 2, 2012
Practice Location
- Address
- 6155 S 2400 W
- City
- Spanish Fork
- State
- Utah
- ZIP Code
- 84660-4606
- Phone
- (801) 798-7700
Authorized Official
- Name
- MARGO L VANE
- Title
- OFFICE MANAGER
- Phone
- (801) 798-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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