Organization
YOUTH TRACK
Active
Organization
YOUTH TRACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN DAVID CLEMENTE (YOTUH COUNSELOR)
(435) 723-1799
Entity
Organization
Contact information
Practice address
862 S MAIN ST STE 4, BRIGHAM CITY, UT 84302-3389
(435) 723-1799
Mailing address
862 S MAIN ST STE 4, BRIGHAM CITY, UT 84302-3389
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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