| NPI | 1578015921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BROWNING Partner 801-836-6275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ID RC-1125) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: ID RC-1125) |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: ID RC-1125) | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |