| NPI | 1770889255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE TWITCHELL Office Manager 801-355-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 320800000X) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |