Whalio Doctors

NPI 1306199120

Heritage Youth Services

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

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
Residential Treatment Facilities Taxonomy 322D00000X

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.