Organization
DIAMOND RANCH ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYCE ZUNDEL (CHIEFFINANCIAL OFFICER)
(801) 598-7727
Entity
Organization
Contact information
Practice address
1500 E 2700 S, HURRICANE, UT 84737-4000
(435) 635-4297
(435) 635-4436
Mailing address
1500 E 2700 S, HURRICANE, UT 84737-4000
(435) 635-4297
(435) 635-4436
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
0000382
UT
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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