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Organization
SPLIT MOUNTAIN YOUTH CENTER
Active
Organization
SPLIT MOUNTAIN YOUTH CENTER
Active
Parent organization
STATE OF UTAH
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF UTAH
Authorized official
LAUREN MAYES (OFFICE MANAGER)
(435) 789-2045
Entity
Organization
Contact information
Practice address
830 E MAIN ST, VERNAL, UT 84078-2708
(435) 789-2045
(435) 789-2245
Mailing address
830 E MAIN ST, VERNAL, UT 84078-2708
(435) 789-2045
(435) 789-2245
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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