NPI | 1396098190 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA COPE Program Manager 801-873-3270 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2012-10-18 |
Last Update Date | 2012-10-18 |