# SECOND NATURE WILDERNESS PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Second Nature Uintas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619191095
- **Authorized official:** ANGIE EVANS (BUSINESS OFFICE)
- **Authorized official phone:** (801) 766-6604

## Contact information

- **Practice address:** 382 WEST MAIN STREET, DUCHESNE, UT 84021-0318
- **Practice address phone:** (435) 738-2040
- **Practice address fax:** (435) 738-2046
- **Mailing address:** 382 WEST MAIN STREET, DUCHESNE, UT 84021-0318
- **Mailing address phone:** (435) 738-2040
- **Mailing address fax:** (435) 738-2046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 18067 | UT | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 05/29/2012