| NPI | 1518099126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA NEGRETE Office Manager 801-268-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |