# KEYSTONE FAMILY SUPPORT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KEYSTONE FAMILY SUPPORT, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033592290
- **Legal business name:** KEYSTONE FAMILY SUPPORT, INC.
- **Authorized official:** MS. HOLLY STOCK TEACHER (PRESIDENT/DIRECTOR)
- **Authorized official phone:** (801) 645-6451

## Contact information

- **Practice address:** 2558 VALLEY VIEW DR, LAYTON, UT 84040-7654
- **Practice address phone:** (801) 645-6451
- **Mailing address:** 195 E 550 N, FARMINGTON, UT 84025-2522
- **Mailing address phone:** (801) 645-6451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 12525 | UT | Yes |

## Other

- **Enumeration date:** 07/07/2015
- **Last updated:** 07/07/2015
