# APEX YOUTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164766077
- **Authorized official:** BRET JACKMAN (OWNER)
- **Authorized official phone:** (435) 734-9511

## Contact information

- **Practice address:** 82 S 800 W, BRIGHAM CITY, UT 84302-2400
- **Practice address phone:** (435) 734-9511
- **Mailing address:** 329 S 200 W, BRIGHAM CITY, UT 84302-2513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 11/15/2012
