Organization
OXBOW ACADEMY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN BROOKS (ADMINISTRATOR)
(801) 491-2270
Entity
Organization
Contact information
Practice address
11470 E 16000 N, MT PLEASANT, UT 84647-5542
(801) 491-2270
Mailing address
757 S MAIN ST, SPRINGVILLE, UT 84663-2452
(801) 491-2270
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/20/2007
Last updated
08/02/2024
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