| NPI | 1881883387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FISI MEIMUA MOLENI Program Director 801-654-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 5843697) |
| Enumeration Date | 2007-10-20 |
| Last Update Date | 2007-10-20 |