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Organization

PIONEER YOUTH & ADULT COMMUNITY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LEIMA MUTI TUPUA (OFFICE MANAGER)
(801) 474-2500
Entity
Organization

Contact information

Practice address
3030 S MAIN ST STE 400, SALT LAKE CITY, UT 84115-3578
(801) 474-2500
(801) 474-9117
Mailing address
PO BOX 651372, SALT LAKE CITY, UT 84165-1372
(801) 474-2500
(801) 474-9117

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
16168
UT
253J00000X
Foster Care Agency
Primary
16167
UT

Other

Enumeration date
05/05/2010
Last updated
05/05/2010
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