| NPI | 1487950358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET R ROBINSON Administrative Director 801-979-6304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |