Organization
WASATCH YOUTH SUPPORT SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R MARCHEL (EXECUTIVE DIRECTOR)
(801) 969-3307
Entity
Organization
Contact information
Practice address
3392 W 3500 S, WEST VALLEY CITY, UT 84119-2630
(801) 969-3307
Mailing address
3392 W 3500 S, WEST VALLEY CITY, UT 84119-2630
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6859209-6005
UT
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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