| NPI | 1043980485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ANGEROSA Admissions Director 435-334-5576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2023-12-08 |