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Organization
UINTA ACADEMY RTC, LLC
Active
Organization
UINTA ACADEMY RTC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSEL PRYOR L.C.S.W. (EXECUTIVE DIRECTOR)
(435) 890-2857
Entity
Organization
Contact information
Practice address
3746 S 4800 W, WELLSVILLE, UT 84339-9785
(435) 245-2600
(435) 245-2605
Mailing address
PO BOX 387, WELLSVILLE, UT 84339-0387
(435) 245-2600
(435) 245-2605
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
51635
UT
Other
Enumeration date
03/16/2018
Last updated
03/17/2018
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