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Second Nature Wilderness Program
Emotionally Disturbed Childrens' Residential Treatment Facility in Duchesne, Utah
NPI 1619191095

Second Nature Wilderness Program is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Duchesne, UT. Second Nature Wilderness Program practices in Duchesne, UT. The NPI Number for Second Nature Wilderness Program is 1619191095 and holds a License No. 18067 (Utah).

The current practice location address for Second Nature Wilderness Program is 382 West Main Street, Duchesne, UT and can be reached out via phone at 435-738-2040 and via fax at 435-738-2046.

Location: 382 West Main Street, Duchesne, UT, 84021-0318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619191095
Provider Name
Second Nature Wilderness Program
Credential
Provider Entity Type
Organization
Address
382 West Main Street, Duchesne, UT, 84021-0318
Phone Number
435-738-2040
Fax Number
435-738-2046
Provider Enumeration Date
04/13/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
11846 01 UT STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
382 West Main Street
City
Duchesne
State
Utah
Zip
84021-0318
Phone Number
435-738-2040
Fax Number
435-738-2046
person
Provider Business Mailing Address Details
Address
382 West Main Street
City
Duchesne
State
Utah
Zip
84021-0318
Phone Number
435-738-2040
Fax Number
435-738-2046
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
18067 (Utah)
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.
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