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Organization
SECOND NATURE WILDERNESS PROGRAM
Active
Organization
SECOND NATURE WILDERNESS PROGRAM
Active
Other names
Second Nature Uintas
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE EVANS (BUSINESS OFFICE)
(801) 766-6604
Entity
Organization
Contact information
Practice address
382 WEST MAIN STREET, DUCHESNE, UT 84021-0318
(435) 738-2040
(435) 738-2046
Mailing address
382 WEST MAIN STREET, DUCHESNE, UT 84021-0318
(435) 738-2040
(435) 738-2046
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
18067
UT
Other
Enumeration date
04/13/2007
Last updated
05/29/2012
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