| NPI | 1245548742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN JENSEN Executive Director 435-283-0164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 16462) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |