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Organization
YOUTH TRACK INC
Active
Organization
YOUTH TRACK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHA'GENE DONTAE BEAL (YOUTH COUNSLER)
(801) 317-3229
Entity
Organization
Contact information
Practice address
862 S, SUITE 4, BRIGHAM CITY, UT 84302
(143) 572-3179
Mailing address
1034 ALAN PEAK CIR., OGDEN, UT 84404
(143) 572-3179
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
253JOOOOOX
UT
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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