| NPI | 1578699468 |
|---|---|
| Other Name | HERITAGE RESIDENTIAL TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | GLEN R ZAUGG Chief Operation Officer 801-226-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: UT 11836) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |