Organization
WASATCH YOUTH SUPPORT SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES RUSSELL MARCHEL PH.D (EXECUTIVE DIRECTOR)
(801) 969-3307
Entity
Organization
Contact information
Practice address
3392 W 3500 S, WEST VALLEY CITY, UT 84119-2630
(801) 969-3307
Mailing address
3392 WEST 3500 SOUTH, WEST VALLEY CITY, UT 84119-2630
(801) 969-3307
(801) 964-8898
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
5420921-3501
—
Other
Enumeration date
09/21/2006
Last updated
08/19/2008
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