Organization
SYNERGY YOUTH TREATMENT
Active
Organization
SYNERGY YOUTH TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZA COTHRAN (CFO)
(435) 213-3123
Entity
Organization
Contact information
Practice address
4473 W 13400 N, CORNISH, UT 84308-1743
(435) 213-3123
Mailing address
4473 W 13400 N, CORNISH, UT 84308-1743
(435) 213-3123
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
256
UT
Other
Enumeration date
11/27/2013
Last updated
03/29/2017
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