| NPI | 1245663947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BAILEY Owner 435-851-6821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |