Extended Family, Inc
Extended Family, Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Spanish Fork, Utah. Licensed in Utah. Registered with an NPI since 2007.
- Licensed in
- UT
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
704 N State Road 51Spanish Fork, UT 84660-1385
Phone: (801) 794-0318
Fax: (801) 794-9514
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X · Licence 12040 (UT) |
|---|
Record details
| NPI number | 1215068267 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paul Wiederhold — Executive Director · (801) 794-0318 |
| NPI enumerated | March 8, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 704 N State Road 51, Spanish Fork, UT 84660-1385 |
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