| NPI | 1063013167 |
|---|---|
| Doing Business As | ELEVATED |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS B BROWNING Owner 801-907-5622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |