| NPI | 1154772796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY J NEUFELD President 435-830-6945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 21366) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-10-27 |