| NPI | 1982429528 |
|---|---|
| Doing Business As | JUVENILE JUSTICE AND YOUTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | BRETT PETERSEN Division Director 801-538-4330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |