| NPI | 1265860076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM DALRYMPLE Hr 801-336-1836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |