| NPI | 1508309287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMREON R. ARMSTRONG Primary Therapist 801-426-8800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: UT 66066303501) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |