Provider Demographics
NPI:1619278389
Name:COME ABOUT...YOUTH SERVICES
Entity Type:Organization
Organization Name:COME ABOUT...YOUTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:SIRKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-669-2991
Mailing Address - Street 1:PO BOX 1218
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-1218
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:2010-11-10
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253J00000XAgenciesFoster Care Agency
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty