Youth Track Inc

LBN: Youth Track Inc
Youth Track Inc is an health care organization with primary practice located at 862 S Suite 4, Brigham City UT 84302. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Youth Track Inc can be contacted via phone (143) 572-3179, or through Beal, Rha'Gene Dontae via phone (801) 317-3229.

Contact Information

Primary practice address
862 S Suite 4 Brigham City UT 84302
Phone: (143) 572-3179
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Beal, Rha'Gene Dontae
Phone: (801) 317-3229

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 253JOOOOOX Utah

Profile Details

NPI number 1407112667
LBN Legal business name Youth Track Inc
DBA Doing business as
Authorized official Beal, Rha'Gene Dontae
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2012
Last updated Apr 2nd, 2012 - about 13 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 1407112667 NPPES
Utah MEDICAID HT006457001

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