Healthcare Provider Details

I. General information

NPI: 1003225483
Provider Name (Legal Business Name): YOUTH HEALTH ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2014
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

387 E 450 S
CLEARFIELD UT
84015-1734
US

IV. Provider business mailing address

520 N MARKET PLACE DR STE 203
CENTERVILLE UT
84014-4904
US

V. Phone/Fax

Practice location:
  • Phone: 801-773-9149
  • Fax: 801-773-9125
Mailing address:
  • Phone: 801-898-3944
  • Fax: 801-606-7736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: MATTHEW LAYTON
Title or Position: CFO
Credential:
Phone: 801-631-4162