| NPI | 1881133742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAINE HOFELING CEO 435-586-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: UT 28425) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |