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Search › Utah › Emotionally Disturbed Childrens' Residential Treatment Facility

Stacey Johanson

NPI 1194476895 · on the registry since 2022 · sole proprietor

Practice

Address
66 N 180 W
Ephraim, UT 84627
Phone
(435) 283-0164
Organisation at this address
Young Women'S Empowerment Center Long Term 3
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X
Sex
Female
Record last updated
2022-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah