| Organization Name: | WASATCH YOUTH SUPPORT SYSTEMS |
| NPI Number: | 1407955883 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES RUSSELL MARCHEL (EXECUTIVE DIRECTOR) |
| Mailing Address: | 3392 W 3500 S West Valley City |
| State: | UT US |
| Postal Code: | 841192630 |
| Phone Number: | 8019693307 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 08/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | 5420921-3501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |