Whalio Doctors

NPI 1881011369

Youth Health Associates

Organisation Psychiatric Residential Treatment Facility Provo, UT

Practice location

Address
836 N 1375 W, Provo, UT 84604-3049
Phone
(801) 375-2523
Mailing address
520 N Market Place Dr STE 100, Centerville, UT 84014-4902

Authorised official

Name
Shayne Miller
Title
Cfo
Phone
(801) 330-8845

Registered specialties (3)

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X

Registry record

NPI
1881011369
Entity type
Organization
NPI issued
24 Mar 2014
Record last updated
1 Aug 2023

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.