| NPI | 1477958981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KUNZLER Office Manager 435-723-8548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 10010) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |