| NPI | 1356476873 |
|---|---|
| Other Name | CROSS CREEK MANOR |
| Entity Type | Organization |
| Authorized Contact | KARR FARNSWORTH Director 435-635-6003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 12143) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: UT 12145) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |