| NPI | 1437683356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYNE MILLER CFO 801-330-8845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2023-08-01 |