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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