| NPI | 1386854461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALLEN LOWE Family Therapist 801-766-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 344193-3902) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |