Organization
REDWOOD THERAPY AND YOUTH SERVICES
Active
Organization
REDWOOD THERAPY AND YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADNEY MA'ANAIMA MARION REID LCSW (CLINICAL DIRECTOR)
(801) 885-1216
Entity
Organization
Contact information
Practice address
154 W MAIN ST, AMERICAN FORK, UT 84003-2359
(801) 885-1216
Mailing address
154 W MAIN ST, AMERICAN FORK, UT 84003-2359
(801) 885-1216
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
18028
UT
253J00000X
Foster Care Agency
Primary
18025
UT
Other
Enumeration date
07/18/2011
Last updated
04/15/2014
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