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Organization
BRYCE CANYON ACADEMY OF UTAH, LLC
Active
Organization
BRYCE CANYON ACADEMY OF UTAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS GARY MILNE (PRINCIPAL OF BOARD)
(435) 669-4884
Entity
Organization
Contact information
Practice address
580 N MAIN, PAROWAN, UT 84761
(435) 477-9167
Mailing address
PO BOX 967, PAROWAN, UT 84761-0967
(435) 477-9167
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
17338
UT
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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