Organization
TRIUMPH ACADEMY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANI LOTS (PRESIDENT)
(801) 589-4457
Entity
Organization
Contact information
Practice address
62 S 950 W, BRIGHAM CITY, UT 84302-4424
(801) 589-4457
(435) 538-5066
Mailing address
62 S 950 W, P.O. BOX 432, BRIGHAM CITY, UT 84302-4424
(801) 589-4457
(435) 538-5066
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
PENDING
UT
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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