Organization
YOUNG WOMEN'S EMPOWERMENT CENTER LONG TERM 3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN JENSEN LSAC (EXECUTIVE DIRECTOR)
(435) 283-0164
Entity
Organization
Contact information
Practice address
66 N. 180 W., EPHRAIM, UT 84627
(435) 283-0164
(435) 283-2213
Mailing address
66 N.181 W., EPHRAIM, UT 84627
(435) 283-0164
(435) 283-2213
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
16462
UT
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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