| NPI | 1811317373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG G WINN Administrative Assistant 801-264-6035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: UT 2013-HOSP-98106) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |