Organization
RAINDANCER YOUTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRINE GOLLAHER (ACCOUNTS RECEIVABLE)
(435) 656-1020
Entity
Organization
Contact information
Practice address
37 W 1070 S, SUITE 201, ST GEORGE, UT 84770-5280
(435) 656-1020
(435) 673-6477
Mailing address
PO BOX 910400, ST GEORGE, UT 84791-0400
(435) 656-1020
(435) 673-6477
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
61005070
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61005070
—
NM
Enumeration date
12/11/2006
Last updated
08/22/2020
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