| NPI | 1467622142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON AH QUIN, JR. Director 435-656-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: UT 12758) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 10217) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2021-12-20 |