Organization
PIUTE YOUTH DEVELOPMENT CENTER
Active
Organization
PIUTE YOUTH DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANDI MOLCHAN (DIRECTOR)
(435) 201-9215
Entity
Organization
Contact information
Practice address
8510 SOUTH TEN MILE ROAD, MARYSVALE, UT 84750
(435) 201-9215
(435) 527-8883
Mailing address
PO BOX 133, MARYSVALE, UT 84750-0133
(435) 201-9215
(435) 527-8883
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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