Taxonomy Code 322D00000X(322d00000x)
Emotionally Disturbed Childrens' Residential Treatment Facility. Providers: 5

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Emotionally Disturbed Childrens' Residential Treatment Facility Providers

NPI Name Type Address

1699191684

Shannon Quiner

Individual

836 N 1375 W

Provo, UT

1841367935

Willow Creek School Llc

Organization

1530 S 500 W

Provo, UT

1487770772

Ivy Academy Inc

Organization

105 N 500 W

Provo, UT

1750766713

Youth Health Associates, Inc.

Organization

836 N 1375 W

Provo, UT

1881011369

Youth Health Associates

Organization

836 N 1375 W

Provo, UT

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Taxonomy Code 322D00000X
Display Name Emotionally Disturbed Childrens' Residential Treatment Facility
Taxonomy Group Residential Treatment Facilities
Taxonomy Classification Residential Treatment Facility, Emotionally Disturbed Children
Definition 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.
Effective Date September 30, 2009
Modification Date September 30, 2009
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