Organization
YOUNG WOMEN'S EMPOWERMENT CENTER LONG TERM 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONIA LINO CASTRO CSAC (STAFF SUPERVISOR)
(435) 851-4659
Entity
Organization
Contact information
Practice address
90 N 161 W, EPHRAIM, UT 84627-5542
(435) 283-9934
(435) 283-9935
Mailing address
90 N 161 W, EPHRAIM, UT 84627-5542
(435) 283-9934
(435) 283-9935
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
16464
UT
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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