Organization
PROVO CANYON SCHOOL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
1350 E 750 N, OREM, UT 84097-4345
(801) 227-2100
Mailing address
1350 E 750 N, OREM, UT 84097-4345
(801) 227-2100
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
UT
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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