Provider Demographics
NPI:1609338854
Name:WASHINGTON COUNTY COURT SUPPORT SERVICES
Entity Type:Organization
Organization Name:WASHINGTON COUNTY COURT SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-922-2750
Mailing Address - Street 1:251 E 200 N
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-2969
Mailing Address - Country:US
Mailing Address - Phone:435-301-7310
Mailing Address - Fax:435-922-2759
Practice Address - Street 1:251 E 200 N
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-2969
Practice Address - Country:US
Practice Address - Phone:435-922-2750
Practice Address - Fax:435-922-2759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-04
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health