Organization
YOUTH HEALTH ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYNE MILLER (CFO)
(801) 330-8845
Entity
Organization
Contact information
Practice address
40 HOB RD, LOS LUNAS, NM 87031-7601
(505) 903-4411
(801) 683-8962
Mailing address
299 N 200 W, BOUNTIFUL, UT 84010-7043
(801) 330-8845
(801) 683-8962
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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