| NPI | 1316009228 |
|---|---|
| Other Name | VMH - PHEASANT HOLLOW |
| Entity Type | Organization |
| Authorized Contact | GARY G LARCENAIRE Chief Executive Officer 801-263-7186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: UT 12009) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2021-01-21 |