Organization · Type 2 NPI
Willow Creek School LLC
Emotionally Disturbed Childrens' Residential Treatment Facility · Provo, UT
NPI number
1841367935
Active
Practice location
1530 S 500 W
Provo, UT 84601-6014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 10842 (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.
4 other providers at this address
About NPI 1841367935
Willow Creek School LLC's National Provider Identifier is 1841367935, issued on Nov 30, 2006. 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 Aug 22, 2020.