| NPI | 1144096850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER RYAN VIRGIN Founder 435-554-8474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2025-04-18 |