| NPI | 1821473224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE MANNOR Executive Director 801-707-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2023-02-15 |