# OXBOW ACADEMY, INC.

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

## Provider details

- **NPI number:** 1215123567
- **Authorized official:** SHAWN BROOKS (ADMINISTRATOR)
- **Authorized official phone:** (801) 491-2270

## Contact information

- **Practice address:** 11470 E 16000 N, MT PLEASANT, UT 84647-5542
- **Practice address phone:** (801) 491-2270
- **Mailing address:** 757 S MAIN ST, SPRINGVILLE, UT 84663-2452
- **Mailing address phone:** (801) 491-2270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2007
- **Last updated:** 08/02/2024