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Organization

WATERFALL CANYON ACADEMY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD DIMICK (PRESIDENT)
(801) 621-3901
Entity
Organization

Contact information

Practice address
818 N 950 E, OGDEN, UT 84404-3866
(801) 399-1402
Mailing address
3375 HARRISON BLVD, OGDEN, UT 84403-1228
(801) 621-3901

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
15034
UT

Other

Enumeration date
08/17/2009
Last updated
08/17/2009
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