Organization
PAINTED HILLS ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MICHAEL CECIL LPC (EXECUTIVE/CLINICAL DIRECTOR)
(885) 861-2263
Entity
Organization
Contact information
Practice address
680 WEST 300 SOUTH, MILFORD, UT 84751-0516
(855) 861-2263
(435) 387-2499
Mailing address
680 WEST 300 SOUTH, MILFORD, UT 84751-0516
(855) 861-2263
(435) 387-2499
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
18054
UT
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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