Organization
NEW FOCUS ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON PARK PHD (EXECUTIVE DIRECTOR)
(801) 471-9289
Entity
Organization
Contact information
Practice address
1268 N VALLEY HEIGHTS CIR, HEBER CITY, UT 84032-4591
(844) 313-6749
Mailing address
1268 N VALLEY HEIGHTS CIR, HEBER CITY, UT 84032-4591
(844) 313-6749
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54561
STATE LICENSE
UT
Enumeration date
02/20/2019
Last updated
02/20/2019
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