Organization
RISE & SHINE YOUTH AND ADULT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER VAKI (OWNER)
(510) 755-6020
Entity
Organization
Contact information
Practice address
756 E 500 S UNIT 203, AMERICAN FORK, UT 84003-3048
(510) 755-6020
Mailing address
756 E 500 S UNIT 203, AMERICAN FORK, UT 84003-3048
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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