| Pioneer Youth & Adult Community Services | |
|
3030 S Main St Ste 400 Salt Lake City UT 84115-3578 | |
| (801) 474-2500 | |
| (801) 474-9117 |
| Full Name | Pioneer Youth & Adult Community Services |
|---|---|
| Speciality | Foster Care Agency |
| Location | 3030 S Main St Ste 400, Salt Lake City, Utah |
| Authorized Official Name and Position | Leima Muti Tupua (OFFICE MANAGER) |
| Authorized Official Contact | 8014742500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Youth & Adult Community Services Po Box 651372 Salt Lake City UT 84165-1372 Ph: (801) 474-2500 | Pioneer Youth & Adult Community Services 3030 S Main St Ste 400 Salt Lake City UT 84115-3578 Ph: (801) 474-2500 |
| NPI Number | 1083932727 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 05/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083932727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 16168 (Utah) | Secondary |
| 253J00000X | Foster Care Agency | 16167 (Utah) | Primary |
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