Organization
LOST AND FOUND YOUTH ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL R LUKE (PROGRAM DIRECTOR)
(435) 387-2223
Entity
Organization
Contact information
Practice address
680 WEST 300 SOUTH, MILFORD, UT 84751-0000
(435) 387-2223
(435) 387-2224
Mailing address
PO BOX 800, MILFORD, UT 84751-0800
(435) 387-2223
(435) 387-2224
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
12777
UT
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12777
OFFICE OF LICENSING
UT
Enumeration date
08/22/2007
Last updated
08/22/2007
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