| NPI | 1447287669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN SORENSON Director 435-638-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 11645) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-08-22 |