National Provider Identifier Database

BRYCE CANYON ACADEMY OF UTAH LLC
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.


Contact Information

BRYCE CANYON ACADEMY OF UTAH, LLC
580 N MAIN
PAROWAN, UT84761
Phone: 435-477-9167
Fax:
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

* Indicates primary specialty

NPI Profile & details for BRYCE CANYON ACADEMY OF UTAH, LLC

NPI Number 1457638587
Legal business name
LBN
BRYCE CANYON ACADEMY OF UTAH, LLC
Authorized official TRAVIS MILNE - (PRINCIPAL OF BOARD)
Entity Organization
Organization subpart No
Enumeration date 11/03/2011
Last updated 11/03/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 17338

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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