Organization
WILDFLOWER MOUNTAIN RANCH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA KASPRZAK-BRATCHER CMHC (CLINICAL DIRECTOR)
(479) 222-8462
Entity
Organization
Contact information
Practice address
2841 N NORDIC VALLEY DR, EDEN, UT 84310-6853
(801) 835-9359
Mailing address
1075 S 6800 E, HUNTSVILLE, UT 84317-9724
(479) 222-8462
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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