# SECOND NATURE ENTRADA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063692804
- **Authorized official:** MR. RICK L HEIZER MS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (435) 674-9310

## Contact information

- **Practice address:** 2711 SANTA CLARA DR, SUITE 200, SANTA CLARA, UT 84765-5466
- **Practice address phone:** (435) 674-9310
- **Practice address fax:** (435) 674-9309
- **Mailing address:** 2711 SANTA CLARA DR, SANTA CLARA, UT 84765-5466
- **Mailing address phone:** (435) 674-9310
- **Mailing address fax:** (435) 674-9309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 12776 | UT | Yes |

## Other

- **Enumeration date:** 11/09/2007
- **Last updated:** 11/09/2007