Wasatch Youth Support Systems

NPI #1790088011 in West Valley City, Utah

Provider Information

NPI Number
1790088011
Entity Type
Organization
Organization Name
Wasatch Youth Support Systems
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Dec 8, 2010
Last Updated
Dec 8, 2010

Practice Location

Address
3392 W 3500 S
State
Utah
ZIP Code
84119-2630
Phone
(801) 969-3307

Authorized Official

Name
JAMES RUSSELL MARCHELL, PH.D.
Title
AGENCEY ADMINISTRATOR
Phone
(801) 969-3307

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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