| NPI | 1609843523 |
|---|---|
| Doing Business As | PROVO CANYON SCHOOL |
| Entity Type | Organization |
| Authorized Contact | STEVE FILTON CFO/ Sr VP 610-768-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: UT 11043) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: UT 3701) |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: UT 3699) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2014-12-03 |