Whalio Doctors

NPI 1174629406

Youth Support Systems

Organisation Voluntary or Charitable Agency West Valley City, UT

Practice location

Address
3392 W 3500 S, West Valley City, UT 84119-2630
Phone
(801) 969-3307
Fax
(801) 964-8898

Authorised official

Name
James Russell Marchel
Title
Executive Director
Phone
(801) 969-3307

Registered specialties

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X Licence 11406 (UT)

Registry record

NPI
1174629406
Entity type
Organization
NPI issued
15 Sep 2006
Record last updated
22 Aug 2020

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.