Organization
CROSSROADS YOUTH SERVICES
Active
Organization
CROSSROADS YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAREY TEUILA OFAHENGAUE (COMPLIANCE MANAGER)
(801) 602-4039
Entity
Organization
Contact information
Practice address
255 S 2175 W, LEHI, UT 84043-7464
(801) 602-4039
(801) 766-4248
Mailing address
255 S 2175 W, LEHI, UT 84043-7464
(801) 602-4039
(801) 766-4248
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
13745
UT
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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