NPI | 1588850846 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN K CAMPBELL CEO 801-782-6600 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: UT 352006-3902) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 352006-3902) |
Enumeration Date | 2007-09-20 |
Last Update Date | 2007-09-20 |