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Organization
SOUTH POINTE YOUTH
Active
Organization
SOUTH POINTE YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL BAILEY (OWNER)
(435) 851-6821
Entity
Organization
Contact information
Practice address
1500 SOUTH 580 WEST, MANTI, UT 84642-0314
(435) 851-6821
Mailing address
1500 SOUTH 580 WEST, MANTI, UT 84642-0314
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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