| NPI | 1750847000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED DAVIS Human Resources 801-226-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |