OrganizationActive
Second Nature Entrada LLC
NPI 1063692804 · Adolescent and Children Mental Health Clinic/Center · Santa Clara, UT
Provider details
- NPI number
- 1063692804
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rick Heizer, Executive Director(435) 674-9310
- License
- 12776 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2711 Santa Clara Dr
Suite 200
Santa Clara, UT 84765-5466
Phone: (435) 674-9310
Fax: (435) 674-9309
Approximate (ZIP-level) locationGet directions
Mailing address
2711 Santa Clara Dr
Santa Clara, UT 84765-5466
Registry dates
- Enumerated
- 2007-11-09
- Last updated
- 2007-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.