| NPI | 1215123567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANE KAY Administrator 801-491-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2013-09-03 |