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Second Nature Wilderness Program

Second Nature Wilderness Program is a healthcare organization registered as Emotionally Disturbed Childrens' Residential Treatment Facility in Duchesne, UT, holding Type 2 (organization) NPI 1619191095 since 2007. The authorized official on file is Angie Evans, Business Office.

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NPI 1619191095
Entity type Organization (Type 2)
Legal business name Second Nature Wilderness Program
Other name <Unavail>
Practice address 382 WEST MAIN STREET, Duchesne, UT, 84021
Phone 4357382040
Fax 4357382046
Enumeration date 2007-04-13
Last updated in NPPES 2012-05-29

Authorized official

Name Angie Evans
Title Business Office
Phone 8017666604

Taxonomy & classification

Taxonomy code Specialty Primary License State
322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Primary 18067 UT

Other identifiers

Identifier Type State Issuer
11846 Other UT STATE LICENSE NUMBER
Copy-ready billing details
Provider: Second Nature Wilderness Program
NPI: 1619191095
Taxonomy: 322D00000X (Emotionally Disturbed Childrens' Residential Treatment Facility)
Address: 382 WEST MAIN STREET, Duchesne, UT, 84021

Providers at this address

NPI Name Type Specialty Location
1467783365 Louise Vaughn Individual Mental Health Counselor Duchesne, UT
1912238635 Brad Reedy Individual Clinical Social Worker Duchesne, UT
1063776862 Devan Glissmeyer Individual Mental Health Counselor Duchesne, UT
1295285146 Cheryl Kehl Individual Clinical Social Worker Duchesne, UT

Verify this record

Cross-check NPI 1619191095 against the authoritative CMS record: view Second Nature Wilderness Program on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-05-29. Verify at npiregistry.cms.hhs.gov.
Where is Second Nature Wilderness Program located?
The practice location on file with NPPES is in Duchesne, UT.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2012-05-29.