Organization
WARRIOR WAY RESIDENTIAL TREATMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN ALBERT HUGHES (CEO)
(801) 806-0866
Entity
Organization
Contact information
Practice address
236 S MAIN ST, SPRINGVILLE, UT 84663-1851
(801) 806-0866
Mailing address
224 S MAIN ST # 201, SPRINGVILLE, UT 84663-1851
(801) 806-0866
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
52497
UT
253J00000X
Foster Care Agency
52497
UT
320800000X
Mental Illness Community Based Residential Treatment Facility
52497
UT
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
52497
UT
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
52497
UT
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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