NPI | 1164635827 |
---|---|
Doing Business As | LE CHATEAU AT BRICKYARD PLAZA |
Entity Type | Organization |
Authorized Contact | KEVIN G TAYLOR Secretary 801-977-1141 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Enumeration Date | 2007-05-08 |
Last Update Date | 2020-08-22 |