NPI 1215068267

Extended Family, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Spanish Fork, UT

Practice location

Address: 704 N State Road 51, Spanish Fork, UT 84660-1385
Phone: (801) 794-0318
Fax: (801) 794-9514

Authorised official

Name: Paul Wiederhold
Title: Executive Director
Phone: (801) 794-0318

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 12040 (UT)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Utah →

Registry record

NPI: 1215068267
Entity type: Organization
NPI issued: 8 Mar 2007
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.