| NPI | 1073811196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC R CHRISTENSEN President 801-360-4672 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |