| NPI | 1659178564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN R RUUD President / Owner 435-705-7574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-03-10 |