NPI 1457652810

Wasatch 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: Agency Administrator
Phone: (801) 969-3307

Registered specialties

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X Licence 2714922501 (UT)

Other Voluntary or Charitable providers in Utah →

Registry record

NPI: 1457652810
Entity type: Organization
NPI issued: 16 Nov 2010
Record last updated: 16 Nov 2010

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.