NPI | 1275853855 |
---|---|
Entity Type | Organization |
Authorized Contact | ELL B SORENON Owner 435-638-7476 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 16303) |
Enumeration Date | 2010-06-07 |
Last Update Date | 2010-06-07 |