NPI | 1013249713 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY COVINGTON Insurance Consultant 801-466-3838 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 15403) |
Enumeration Date | 2010-02-04 |
Last Update Date | 2010-02-04 |