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YOUTHTRACK INC. NPI 1740494939


NPI Information

NPI: 1740494939
Provider Name: YOUTHTRACK, INC.

Other Name: YOUTHTRACK UTAH

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
862 S MAIN ST
STE 6
BRIGHAM CITY, UT
ZIP 84302
Phone: (435) 723-1799
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YOUTHTRACK, INC. is a community behavioral health in Brigham City, UT. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. YOUTHTRACK, INC. NPI is 1740494939. The provider is registered as an organization entity type.
The provider Other Name Is Youthtrack Utah.

The provider's business location address is:

862 S MAIN ST
STE 6
BRIGHAM CITY, UT
ZIP 84302-320
Phone: (435) 723-1799

The provider's authorized official is Deena Ombres .
The authorized official title is Privacy Officer and has the following contact phone number (502) 394-2387.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 12/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251K00000XPublic Health or WelfareNo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
4253J00000XFoster Care AgencyUTAHNo
5251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HS 175 PIMEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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