Wasatch Youth Support Systems

LBN: Wasatch Youth Support Systems
Wasatch Youth Support Systems is an health care organization with primary practice located at 3392 W 3500 S , West Valley City UT 84119-2630. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Wasatch Youth Support Systems can be contacted via phone (801) 969-3307, or through Marchell, James Russell via phone (801) 969-3307.

Contact Information

Primary practice address
3392 W 3500 S West Valley City UT 84119-2630
Phone: (801) 969-3307
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marchell, James Russell PHD
Phone: (801) 969-3307

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 7459448-3502 Utah

Profile Details

NPI number 1588967814
LBN Legal business name Wasatch Youth Support Systems
DBA Doing business as
Authorized official Marchell, James Russell PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2010
Last updated Dec 8th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588967814 NPPES
Utah MEDICAID 261QR0405X

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