Organization
LAVA HEIGHTS ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PACE MA ED, MC (EXECUTIVE DIRECTOR)
(435) 673-6111
Entity
Organization
Contact information
Practice address
730 E SPRING DR, TOQUERVILLE, UT 84774
(866) 452-8772
Mailing address
747 E SAINT GEORGE BLVD, SAINT GEORGE, UT 84770-3035
(435) 673-6111
(435) 673-0994
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
20523
UT
323P00000X
Psychiatric Residential Treatment Facility
20523
UT
3245S0500X
Children's Substance Abuse Rehabilitation Facility
20523
UT
Other
Enumeration date
04/03/2013
Last updated
06/24/2015
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