| NPI | 1427425859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE EVANS Bo 801-766-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 3132) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |