Whalio Doctors

NPI 1679852172

Road to Success Youth Services LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility West Valley City, UT

Practice location

Address
4687 Rain Tree Way, West Valley City, UT 84120-1756
Phone
(801) 792-8665

Authorised official

Name
Maria Easter Lavekihelotu
Title
Ceo
Phone
(801) 792-8665

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 18378 (UT)

Registry record

NPI
1679852172
Entity type
Organization
NPI issued
15 Aug 2011
Record last updated
15 Aug 2011

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.