| NPI | 1467077750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON K SPERRY-CLEGG Compliance Director 801-859-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |