| NPI | 1366873440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZA COTHRAN CFO 435-213-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 256) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2017-03-29 |