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Organization
PROVO CANYON SCHOOL
Active
Organization
PROVO CANYON SCHOOL
Active
Other names
Provo Canyon residential Services of Utah
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI ANN CORONA (DIRECTOR CBO)
(801) 223-7117
Entity
Organization
Contact information
Practice address
1317 E 750 N, OREM, UT 84097-5480
(801) 223-7117
(801) 494-0070
Mailing address
1350 E 750 N, OREM, UT 84097-4345
(801) 223-7117
(801) 494-0070
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
16006
UT
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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