NPI | 1760026942 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAYNE MILLER CFO 801-330-8845 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2019-10-31 |
Last Update Date | 2019-10-31 |