Provider Demographics
NPI:1043558885
Name:COME ABOUT YOUTH SERVICES
Entity Type:Organization
Organization Name:COME ABOUT YOUTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIRKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-669-2991
Mailing Address - Street 1:856 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-3528
Mailing Address - Country:US
Mailing Address - Phone:801-669-2991
Mailing Address - Fax:801-899-2077
Practice Address - Street 1:856 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-3528
Practice Address - Country:US
Practice Address - Phone:801-669-2991
Practice Address - Fax:801-899-2077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT104100000X251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management