# UNIVERSAL HEALTH SYSTEMS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROVO CANYON SCHOOL
- **Other names:** Provo Canyon School, Provo Canyon School
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255974085
- **Legal business name:** PROVO CANYON SCHOOL
- **Authorized official:** MAX AH QUIN CMHC (CLINICAL DIRECTOR)
- **Authorized official phone:** (801) 932-2544

## Contact information

- **Practice address:** 4501 N UNIVERSITY AVE, PROVO, UT 84604-5504
- **Practice address phone:** (801) 932-6364
- **Mailing address:** 4501 N UNIVERSITY AVE, PROVO, UT 84604-5504
- **Mailing address phone:** (801) 932-2532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 10/24/2019
- **Last updated:** 10/24/2019