| NPI | 1265632939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY C. HUSBANDS Program Director 435-835-4053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 12439) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |