| NPI | 1780004192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE CALDWELL Office Manager 801-484-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: UT 3732) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2021-09-23 |