NPI | 1053472340 |
---|---|
Other Name | VMH - STARS |
Entity Type | Organization |
Authorized Contact | DEBRA FALVO Executive Director 801-263-7100 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: UT 12002) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2011-08-25 |