| NPI | 1144515503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN R ROBINSON Executive Director 801-979-6294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 17626) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |