Organization
HERITAGE YOUTH SERVICERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA COPE (PROGRAM MANAGER)
(801) 873-3270
Entity
Organization
Contact information
Practice address
19675 S. HIGHWAY 89, BIRDSEYE, UT 84629
(801) 873-3270
Mailing address
31 E 1600 N, SPANISH FORK, UT 84660-1011
(801) 798-9077
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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