Organization · Type 2 NPI
Larry Linde Inc
Emotionally Disturbed Childrens' Residential Treatment Facility · Spanish Fork, UT
Practice location
31 East 1600 North
Spanish Fork, UT 84660
Fax (801) 798-8949
Mailing address
PO Box 117
Spanish Fork, UT 84660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 11559 (UT) |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 13995 (UT) |
Emotionally Disturbed Childrens' Residential Treatment Facility: 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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About NPI 1003959149
Larry Linde Inc's National Provider Identifier is 1003959149, issued on Feb 15, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Spanish Fork, UT. The record was last updated on Jul 15, 2008.