Organization
PINNACLE YOUTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE M KEEHAN (TREASURER)
(801) 755-1977
Entity
Organization
Contact information
Practice address
491 S MAIN ST, SUITE 201, CEDAR CITY, UT 84720-3475
(435) 868-9009
Mailing address
5890 SHANGRI LN, HOLLADAY, UT 84121-1457
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
13366
UT
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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