| NPI | 1427330968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI RAGSDALE Executive Director 801-699-6563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2011-09-11 |
| Last Update Date | 2011-09-11 |