Second Nature Wilderness Program
Residential Treatment Facility, Emotionally Disturbed Children in Duchesne, UT. Organization (NPI-2).
NPI number1619191095
StatusActive
Last updated in NPPESMay 29, 2012
Details
- NPI
- 1619191095
- Entity type
- Organization (NPI-2)
- Legal business name
- Second Nature Wilderness Program
- Organization subpart
- No
- Enumeration date
- Apr 13, 2007
- Last updated
- May 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 18067 | UT | Yes |
Other names
- Second Nature Uintas (Other Name)
Practice location
382 West Main StreetDuchesne, UT 84021-0318
Phone 435-738-2040 · Fax 435-738-2046
Mailing address
382 West Main StreetDuchesne, UT 84021-0318
Phone 435-738-2040 · Fax 435-738-2046
Authorized official
Angie Evans
Business Office
8017666604
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