Organization
CAMPUS ACADEMY
Active
Other names
Juniper Haven
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KELLER ADAMSON LCSW (CEO)
(435) 760-1230
Entity
Organization
Contact information
Practice address
675 E 400 N APT A, LOGAN, UT 84321-5880
(435) 265-4245
Mailing address
675 E 400 N APT A, LOGAN, UT 84321-5880
(435) 265-4245
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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