| NPI | 1851705669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE WHITING Executive Director 801-425-6018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-08-06 |