| NPI | 1063281871 |
|---|---|
| Doing Business As | TELOS |
| Doing Business As | GENEVA |
| Entity Type | Organization |
| Authorized Contact | ANTHONY MOSIER COO 801-426-8800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2023-12-21 |