| NPI | 1518067578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUFF L WILLIAMS President 435-674-0984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: UT 11761) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-06-16 |