| NPI | 1447567672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER WINTERS Program Director 435-340-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |