| NPI | 1235546573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS VAN VRANKEN Executive Director 801-587-3115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 13644) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2017-03-03 |