NPI | 1801900238 |
---|---|
Doing Business As | INTERMOUNTAIN HEALTH MOUNT SAINT VINCENT HOME |
Entity Type | Organization |
Authorized Contact | JENESSA WILLIAMS Executive Director 303-458-7220 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CO 45174) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2025-03-14 |