| NPI | 1407112667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHA'GENE DONTAE BEAL Youth Counsler 801-317-3229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 253jooooox) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |