# UINTA ACADEMY RTC, LLC

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

## Provider details

- **NPI number:** 1518460369
- **Authorized official:** MR. RUSSEL PRYOR L.C.S.W. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (435) 890-2857

## Contact information

- **Practice address:** 3746 S 4800 W, WELLSVILLE, UT 84339-9785
- **Practice address phone:** (435) 245-2600
- **Practice address fax:** (435) 245-2605
- **Mailing address:** PO BOX 387, WELLSVILLE, UT 84339-0387
- **Mailing address phone:** (435) 245-2600
- **Mailing address fax:** (435) 245-2605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 51635 | UT | Yes |

## Other

- **Enumeration date:** 03/16/2018
- **Last updated:** 03/17/2018