| NPI | 1487174454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WAYNE WINTERS Owner 435-283-9934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 52161) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-07-21 |