Organization
YOUNG WOMEN'S EMPOWERMENT CENTER LONG TERM 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARRIN PETERSON (SDS REPRESENTATIVE)
(435) 283-9932
Entity
Organization
Contact information
Practice address
68 N 180 W, EPHRAIM, UT 84627-2130
(435) 283-9934
(435) 283-4920
Mailing address
68 N 180 W, EPHRAIM, UT 84627-2130
(435) 283-9934
(435) 283-4920
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
16463
UT
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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