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Organization
ADOLESCENT LIFE CHOICES
Active
Organization
ADOLESCENT LIFE CHOICES
Active
Other names
Vision Quest Academy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH LEE SEELY PH.D. (PRESIDENT)
(435) 867-4445
Entity
Organization
Contact information
Practice address
467 N. 300 W., CEDAR CITY, UT 84721
(435) 867-4445
(435) 867-4445
Mailing address
PO BOX 2949, CEDAR CITY, UT 84721-2949
(435) 867-4445
(435) 867-4449
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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