| NPI | 1588581250 |
|---|---|
| Doing Business As | INTERMOUNTAIN HEALTH MOUNT SAINT VINCENT HOME |
| Entity Type | Organization |
| Authorized Contact | JANESSA WILLIAMS Executive Director 303-458-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2026-07-02 |
| Last Update Date | 2026-07-02 |