NPI | 1033592290 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY STOCK President/Director 801-645-6451 |
Organization Subpart ? | Yes |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 12525) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2015-07-07 |