| NPI | 1295188209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BERNARD Chief Program Officer/EVP 801-707-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2021-02-15 |