| NPI | 1740690452 |
|---|---|
| Other Name | SYRACUSE RTC LLC |
| Entity Type | Organization |
| Authorized Contact | JANA RANDALL Billing Coordinator 801-773-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 6916) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |