Individual provider · Type 1 NPI

Shannon Quiner

Emotionally Disturbed Childrens' Residential Treatment Facility · Provo, UT

NPI number 1699191684 Active

Practice location

836 N 1375 W
Provo, UT 84604-3049

Call (801) 375-2523 Map

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

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.

52 other providers at this address

About NPI 1699191684

Shannon Quiner's National Provider Identifier is 1699191684, issued on Mar 13, 2014. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Provo, UT. The record was last updated on Mar 13, 2014.