NPI 1407112667

Youth Track INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Brigham City, UT

Practice location

Address: 862 S Suite 4, Brigham City, UT 84302
Phone: (143) 572-3179
Mailing address: 1034 Alan Peak Cir., Ogden, UT 84404

Authorised official

Name: Rha'Gene Dontae Beal
Title: Youth Counsler
Phone: (801) 317-3229

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 253JOOOOOX (UT)

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

Registry record

NPI: 1407112667
Entity type: Organization
NPI issued: 2 Apr 2012
Record last updated: 2 Apr 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.