| NPI | 1528116746 |
|---|---|
| Doing Business As | HAVENWOOD RANCH |
| Doing Business As | HAVENWOOD NORTH |
| Doing Business As | HAVENWOOD SOUTH |
| Entity Type | Organization |
| Authorized Contact | NATHAN HOFELING Director 435-586-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 15732, 15733) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 15732, 15733) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2022-07-07 |