| NPI | 1356661110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STERLING LYMAN Managing Member 435-538-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 15522) |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: UT 15522) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2014-01-30 |