Provider Demographics
NPI:1023335890
Name:QUALITY YOUTH SERVICES, INC.
Entity type:Organization
Organization Name:QUALITY YOUTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:OTSUKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-920-0014
Mailing Address - Street 1:1140 36TH ST # 270
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-2050
Mailing Address - Country:US
Mailing Address - Phone:801-393-6232
Mailing Address - Fax:
Practice Address - Street 1:1140 36TH ST # 270
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-2050
Practice Address - Country:US
Practice Address - Phone:801-393-6232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency