| NPI | 1689674301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN CLARKE Superintendent 801-763-4091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: UT 2004-NCF-95) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2020-08-22 |