| NPI | 1699889576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY DELIS Revenue Cycle Direct 801-587-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: UT 2006-HOSP208) |
| Additional Taxonomies | 273R00000X Psychiatric Unit (Licence: UT 2006-HOSP-208) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-08-17 |