Wasatch Youth Support Systems
NPI #1316249386 in West Valley City, Utah
Provider Information
- NPI Number
- 1316249386
- Entity Type
- Organization
- Organization Name
- Wasatch Youth Support Systems
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Nov 24, 2010
- Last Updated
- Nov 24, 2010
Practice Location
- Address
- 3392 W 3500 S
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84119-2630
- Phone
- (801) 969-3307
Authorized Official
- Name
- DR. JAMES RUSSELL MARCHEL, PH.D.
- Title
- AGENCY ADMINISTRATOR
- Phone
- (801) 969-3307
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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