Organization
ADOLESCENT LIFE CHOICES
Active
Other names
Vision Quest Academy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH LEE SEELY PH.D. (PRESIDENT)
(435) 867-4445
Entity
Organization
Contact information
Practice address
467 N. 300 W., CEDAR CITY, UT 84721
(435) 867-4445
(435) 867-4445
Mailing address
PO BOX 2949, CEDAR CITY, UT 84721-2949
(435) 867-4445
(435) 867-4449
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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