| 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 |