| NPI | 1649482241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE BROWN Office Manager 435-836-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-10 |