Organization
YOUTHTRACK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN N BARLOW (CLINICAL DIRECTOR)
(435) 723-9442
Entity
Organization
Contact information
Practice address
862 S MAIN SUITE 4, BRIGHAM CITY, UT 84302
(435) 723-1799
Mailing address
862 S MAIN STREET, BRIGHAM CITY, UT 84302
(435) 723-1799
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
3636523902
UT
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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