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Organization
ROAD TO SUCCESS YOUTH SERVICES LLC
Active
Organization
ROAD TO SUCCESS YOUTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA EASTER LAVEKIHELOTU (CEO)
(801) 792-8665
Entity
Organization
Contact information
Practice address
4687 RAIN TREE WAY, WEST VALLEY CITY, UT 84120-1756
(801) 792-8665
Mailing address
4687 RAIN TREE WAY, WEST VALLEY CITY, UT 84120-1756
(801) 792-8665
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
18378
UT
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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