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Organization

CASCADE ACADEMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRAD GERRARD (EXECUTIVE DIRECTOR)
(801) 655-3886
Entity
Organization

Contact information

Practice address
430 W 200 N, MIDWAY, UT 84049
(435) 562-5800
Mailing address
PO BOX 1145, MIDWAY, UT 84049-1145
(435) 562-5800

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Enumeration date
06/04/2020
Last updated
06/04/2020
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