| NPI | 1669857629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYNE MILLER CFO 801-330-8845 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 9371) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: UT 9371) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 9371) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: UT 9371) | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2023-08-01 |