Organization
YOUTHNET SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE E FAAOOTOA (QUALITY ASSURANCE DIRECTOR)
(801) 420-4697
Entity
Organization
Contact information
Practice address
1160 S STATE ST STE 180A, OREM, UT 84097-8269
(801) 420-4697
Mailing address
1160 SOUTH STATE STREET, SUITE 180A, OREM, UT 84097-8269
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
17265
UT
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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