Organization
CHILDREN & YOUTH SERVICES, INC.
Active
Other names
West Ridge Academy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH ALLEN MBA (EXECUTIVE DIRECTOR)
(801) 282-1006
Entity
Organization
Contact information
Practice address
5500 BAGLEY PARK RD, WEST JORDAN, UT 84088-5697
(801) 282-1000
Mailing address
5500 BAGLEY PARK RD, WEST JORDAN, UT 84088-5697
(801) 282-1000
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
11268
UT
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
11269
UT
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
11270
UT
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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