Whalio Doctors

NPI 1427326933

Logan River Academy, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Logan, UT

Practice location

Address
1683 S Hwy 89, Logan, UT 84321-6212
Phone
(435) 755-8400
Fax
(435) 755-8540

Authorised official

Name
Loraine Connin
Title
Director of Finance
Phone
(435) 755-8400

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence 18414 (UT)

Registry record

NPI
1427326933
Entity type
Organization
NPI issued
12 Dec 2011
Record last updated
12 Dec 2011

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.