Organization
ANCHOR STONE YOUTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE E FAAOOTOA (ADMINISTRATOR)
(801) 420-4697
Entity
Organization
Contact information
Practice address
920 NORTH 0000 E/W, MANTI, UT 84642
(801) 420-4697
Mailing address
920 NORTH 0000 E/W, MANTI, UT 84057
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
16705
UT
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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