| NPI | 1639506884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER PATCHING CEO 801-615-0213 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: UT 20208) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2017-03-29 |