| NPI | 1386034957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY MARLISA KNIGHT Director Of Operations 801-425-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: UT 11471) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |