OrganizationActive
Magellan Academy, Inc
NPI 1053706358 · Emotionally Disturbed Childrens' Residential Treatment Facility · Spanish Fork, UT
Provider details
- NPI number
- 1053706358
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Paul Wiederhold, Executive Director
Practice location
704 N State Road 51
Spanish Fork, UT 84660-1385
Phone: (801) 794-0318
Fax: (801) 794-9514
Mailing address
704 N State Road 51
Spanish Fork, UT 84660-1385
Registry dates
- Enumerated
- 2015-04-02
- Last updated
- 2015-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.