| NPI | 1831425537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY D. BARNETT Owner/Manager 801-243-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: UT 212620-2501) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: UT 212620-2501) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: UT 2126202501) | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: UT 212620-2501) | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: UT 212620-2501) | |
| 311500000X Alzheimer Center (Dementia Center) (Licence: UT 212620-2501) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: UT 212620-2501) | |
| 314000000X Skilled Nursing Facility (Licence: UT 212620-2501) | |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2009-10-30 |