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Willow Creek School Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Provo, Utah
NPI 1841367935

Willow Creek School Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Provo, UT. Willow Creek School Llc practices in Provo, UT. The NPI Number for Willow Creek School Llc is 1841367935 and holds a License No. 10842 (Utah).

The current practice location address for Willow Creek School Llc is 1530 S 500 W, Provo, UT and can be reached out via phone at 801-377-2215.

Location: 1530 S 500 W, Provo, UT, 84601-6014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841367935
Provider Name
Willow Creek School Llc
Credential
Provider Entity Type
Organization
Address
1530 S 500 W, Provo, UT, 84601-6014
Phone Number
801-377-2215
Fax Number
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1530 S 500 W
City
Provo
State
Utah
Zip
84601-6014
Phone Number
801-377-2215
Fax Number
person
Provider Business Mailing Address Details
Address
1530 S 500 W
City
Provo
State
Utah
Zip
84601-6014
Phone Number
801-377-2215
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
10842 (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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