| NPI | 1013991256 |
|---|---|
| Other Name | SORENSONS RESIDENTIAL TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | SHANE SORENSON Director 435-638-7318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: UT 8393) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2020-08-22 |