Extended Family Boys, Inc.
NPI #1689986457 in Spanish Fork, Utah
Provider Information
- NPI Number
- 1689986457
- Entity Type
- Organization
- Organization Name
- Extended Family Boys, Inc.
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jul 9, 2010
- Last Updated
- Jul 9, 2010
Practice Location
- Address
- 704 N STATE ROAD 51
- City
- Spanish Fork
- State
- Utah
- ZIP Code
- 84660-1385
- Phone
- (801) 794-0318
Authorized Official
- Name
- TERIE WIEDERHOLD, PH.D
- Title
- ADMINISTRATIVE DIRECTOR
- Phone
- (801) 794-0318
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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