| NPI | 1366863185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R CHENEY Owner 435-469-0342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 21289) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2024-06-18 |