| NPI | 1811490113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN ALBERT HUGHES CEO 801-806-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: UT 52497) |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: UT 52497) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 52497) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: UT 52497) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 52497) | |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |