| NPI | 1093918419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN HARRIS Executive Director 435-656-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: UT 12327) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 12327) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |