| NPI | 1699084566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARRIN PETERSON Sds Representative 435-283-9932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 16463) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |