NPI 1306199120
Heritage Youth Services
Practice location
- Address
- 31 E 1600 N, Spanish Fork, UT 84660-1011
- Phone
- (801) 798-9077
- Fax
- (801) 798-8949
- Mailing address
- PO Box 117, Spanish Fork, UT 84660-0117
Authorised official
- Name
- Corbin Linde
- Title
- Owner
- Phone
- (801) 798-9077
Registered specialties
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Registry record
- NPI
- 1306199120
- Entity type
- Organization
- NPI issued
- 17 Oct 2012
- Record last updated
- 17 Oct 2012
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.