| Organization Name: | YOUNG WOMEN'S EMPOWERMENT CENTER LONG TERM 2 |
| NPI Number: | 1558678763 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TONIA LINO CASTRO (STAFF SUPERVISOR) |
| Mailing Address: | 90 N 161 W Ephraim |
| State: | UT US |
| Postal Code: | 846275542 |
| Phone Number: | 4352839934 |
| Fax Number: | 4352839935 |
| NPI Enumeration Date: | 09/09/2010 |
| NPI Last Update Date: | 09/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320800000X |
| License Number: | 16464 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |