| NPI | 1124364922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE HUMPHRIES President 435-703-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2012-12-25 |
| Last Update Date | 2012-12-25 |