Organization
TRIUMPH YOUTH SERVICES
Active
Other names
Expeditions
Organization subpart
No
Provider details
NPI number
Authorized official
STERLING LYMAN (MANAGING MEMBER)
(435) 538-5063
Entity
Organization
Contact information
Practice address
58 S 950 W, BRIGHAM CITY, UT 84302-4424
(435) 538-5061
(435) 538-5066
Mailing address
PO BOX 526, BRIGHAM CITY, UT 84302-0526
(435) 538-5063
(435) 538-5065
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
15524
UT
3245S0500X
Children's Substance Abuse Rehabilitation Facility
15524
UT
Other
Enumeration date
06/03/2010
Last updated
06/23/2015
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