Wasatch Youth Support Systems

NPI #1457652810 in West Valley City, Utah

Provider Information

NPI Number
1457652810
Entity Type
Organization
Organization Name
Wasatch Youth Support Systems
Primary Specialty
Voluntary or Charitable
Enumeration Date
Nov 16, 2010
Last Updated
Nov 16, 2010

Practice Location

Address
3392 W 3500 S
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
Voluntary or Charitable

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