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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Residential Treatment Facility, Emotionally Disturbed Children |
322D00000X |
| NPI # | 1457638587 |
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| LBN Legal business name | BRYCE CANYON ACADEMY OF UTAH, LLC | ||||
| Authorized official | TRAVIS MILNE - (PRINCIPAL OF BOARD) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/03/2011 | ||||
| Last updated | 11/03/2011 - About 15 years ago | ||||
| Identifiers |
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BRYCE CANYON ACADEMY OF UTAH, LLC