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Organization

DANIELS ACADEMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN R ROBINSON (EXECUTIVE DIRECTOR)
(801) 979-6294
Entity
Organization

Contact information

Practice address
3725 S BIG HOLLOW RD, HEBER CITY, UT 84032-3978
(801) 979-6294
(801) 904-0077
Mailing address
3725 S BIG HOLLOW RD, HEBER CITY, UT 84032-3978
(801) 979-6294
(801) 904-0077

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
17626
UT

Other

Enumeration date
06/14/2011
Last updated
06/14/2011
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