Whalio Doctors

NPI 1033592290

Keystone Family Support, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Layton, UT

Practice location

Address
2558 Valley View Dr, Layton, UT 84040-7654
Phone
(801) 645-6451
Mailing address
195 E 550 N, Farmington, UT 84025-2522

Authorised official

Name
Holly Stock
Title
President/Director
Phone
(801) 645-6451

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 12525 (UT)

Registry record

NPI
1033592290
Entity type
Organization
NPI issued
7 Jul 2015
Record last updated
7 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.