Teen Discovery Home

NPI #1982011649 in Gunnison, Utah

Provider Information

NPI Number: 1982011649
Entity Type: Organization
Organization Name: Teen Discovery Home
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Jul 15, 2014
Last Updated: Jul 15, 2014

Practice Location

Address: 10 EAST 100 SOUTH
City: Gunnison
State: Utah
ZIP Code: 84634
Phone: (435) 528-7400

Authorized Official

Name: MS. CHARLOTTE M DIAMOND
Title: OWNER/PROGRAM DIRECTOR
Phone: (435) 749-0966

Specialties & Taxonomy Codes

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

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