NPI 1760026942
Youth Health Associates, INC.
Practice location
- Address
- 40 Hob Rd, Los Lunas, NM 87031-7601
- Phone
- (505) 903-4411
- Fax
- (801) 683-8962
- Mailing address
- 299 N 200 W, Bountiful, UT 84010-7043
Authorised official
- Name
- Shayne Miller
- Title
- Cfo
- Phone
- (801) 330-8845
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1760026942
- Entity type
- Organization
- NPI issued
- 31 Oct 2019
- Record last updated
- 31 Oct 2019
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.