Organization
TRIUMPH YOUTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STERLING LYMAN (MANAGING MEMBER)
(435) 538-5063
Entity
Organization
Contact information
Practice address
62 S 950 W, BRIGHAM CITY, UT 84302-4424
(435) 538-5063
(435) 538-5065
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
15522
UT
3245S0500X
Children's Substance Abuse Rehabilitation Facility
15522
UT
Other
Enumeration date
06/03/2010
Last updated
01/30/2014
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