Organization
PROVO CANYON SCHOOL
Active
Other names
Provo Canyon residential Services of Utah
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI ANN CORONA (DIRECTOR CBO)
(801) 223-7117
Entity
Organization
Contact information
Practice address
1317 E 750 N, OREM, UT 84097-5480
(801) 223-7117
(801) 494-0070
Mailing address
1350 E 750 N, OREM, UT 84097-4345
(801) 223-7117
(801) 494-0070
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
16006
UT
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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