| Wasatch Youth Support Systems | |
|
3392 W 3500 S West Valley City UT 84119-2630 | |
| (801) 969-3307 | |
| Not Available |
| Full Name | Wasatch Youth Support Systems |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3392 W 3500 S, West Valley City, Utah |
| Authorized Official Name and Position | James R Marchel (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8019693307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wasatch Youth Support Systems 3392 W 3500 S West Valley City UT 84119-2630 Ph: () - | Wasatch Youth Support Systems 3392 W 3500 S West Valley City UT 84119-2630 Ph: (801) 969-3307 |
| NPI Number | 1356514582 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 04/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356514582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6859209-6005 (Utah) | Primary |
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