NPI 1003959149

Larry Linde INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Spanish Fork, UT

Practice location

Address: 31 East 1600 North, Spanish Fork, UT 84660
Phone: (801) 798-9077
Fax: (801) 798-8949
Mailing address: PO Box 117, Spanish Fork, UT 84660

Authorised official

Name: Corbin J Linde
Title: President
Phone: (801) 798-9077

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 13995 (UT)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Utah →

Emotionally Disturbed Childrens' Residential Treatment Facility

Residential Treatment Facilities Taxonomy 322D00000X Licence 11559 (UT)

Registry record

NPI: 1003959149
Entity type: Organization
NPI issued: 15 Feb 2007
Record last updated: 15 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.