| NPI | 1134310956 |
|---|---|
| Doing Business As | PHASES OF CHANGE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY A LAVALLEE CEO 801-695-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 3314093902) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |