# WATERFALL CANYON ACADEMY, INC.

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

## Provider details

- **NPI number:** 1407088917
- **Authorized official:** RICHARD DIMICK (PRESIDENT)
- **Authorized official phone:** (801) 621-3901

## Contact information

- **Practice address:** 818 N 950 E, OGDEN, UT 84404-3866
- **Practice address phone:** (801) 399-1402
- **Mailing address:** 3375 HARRISON BLVD, OGDEN, UT 84403-1228
- **Mailing address phone:** (801) 621-3901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 15034 | UT | Yes |

## Other

- **Enumeration date:** 08/17/2009
- **Last updated:** 08/17/2009