NPI | 1629513833 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG LAMONT CEO 801-426-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 5079969-3501) |
Enumeration Date | 2016-12-23 |
Last Update Date | 2016-12-23 |