Second Nature Entrada
NPI #1952569352 in Santa Clara, Utah
Provider Information
- NPI Number
- 1952569352
- Entity Type
- Organization
- Organization Name
- Second Nature Entrada
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jun 2, 2008
- Last Updated
- May 29, 2012
Practice Location
- Address
- 2711 SANTA CLARA DR STE 400
- City
- Santa Clara
- State
- Utah
- ZIP Code
- 84765-5480
- Phone
- (435) 674-9310
Authorized Official
- Name
- ANGIE EVANS
- Title
- BUSINESS OFFICE
- Phone
- (801) 766-6604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
| Residential Treatment Facility, Emotionally Disturbed Children |
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