| NPI | 1124139654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA G. HUSSEY Executive Director 801-982-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 10522 and 10523) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |