NPI | 1043070063 |
---|---|
Doing Business As | VIVID SAFE HOUSE |
Entity Type | Organization |
Authorized Contact | STEVEN LABRUM Finance Director 801-718-0132 |
Organization Subpart ? | Yes |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2024-03-19 |
Last Update Date | 2024-03-19 |