Youthtrack Utah

LBN: Youthtrack, Inc.
Youthtrack Utah is an health care organization with primary practice located at 862 S Main St Ste 6, Brigham City UT 84302-3320. The organization recently has 5 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health, Agencies / Foster Care Agency, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty. Youthtrack, Inc. can be contacted via phone (435) 723-1799, or through Ombres, Deena via phone (502) 394-2387.

Contact Information

Primary practice address
862 S Main St Ste 6 Brigham City UT 84302-3320
Phone: (435) 723-1799
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ombres, Deena
Phone: (502) 394-2387

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Foster Care Agency 253J00000X Utah
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1740494939
LBN Legal business name Youthtrack, Inc.
DBA Doing business as Youthtrack Utah
Authorized official Ombres, Deena
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740494939 NPPES
Utah MEDICAID HS 175 PI

Popular Providers