Wildflower Mountain Ranch Inc
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Eden, UT
NPI 1669170379 · NPPES record last updated Feb 21, 2023
Key facts
- NPI
- 1669170379
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- Legal business name
- WILDFLOWER MOUNTAIN RANCH INC
- Practice address
- 2841 N Nordic Valley Dr
Eden, UT 84310-6853 - Phone
- (801) 835-9359
- NPI assigned
- Feb 21, 2023
- Organization subpart
- No
Authorized official
- Name
- Veronica Kasprzak-Bratcher, CMHC
- Title
- Clinical Director
- Phone
- (479) 222-8462
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Yes |
Addresses
Primary practice location
2841 N Nordic Valley Dr
Eden, UT 84310-6853
Mailing address
1075 S 6800 E
Huntsville, UT 84317-9724
Phone (479) 222-8462
Other providers in Eden, UT
- Spirit Mountain Recovery, Inc.
- Valley Care Clinic
- Valley Family Medical
- Valley Physical Therapy PLLC
- Chad L Wagstaff
All providers in Eden, UT · Emotionally Disturbed Childrens' Residential Treatment Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.