Organization
HERITAGE YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORBIN LINDE (OWNER)
(801) 798-9077
Entity
Organization
Contact information
Practice address
31 E 1600 N, SPANISH FORK, UT 84660-1011
(801) 798-9077
(801) 798-8949
Mailing address
PO BOX 117, SPANISH FORK, UT 84660-0117
(801) 798-9077
(801) 798-8949
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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