| NPI | 1538515903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE GRAINGER Psychiatric Technician 801-864-5927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: UT 167G00000X) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |