| NPI | 1184033656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE YARGER Behavior Analyst 801-404-6023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: UT ao1532) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2020-05-28 |