| NPI | 1891007886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH WILKEY Owner 1435-262-7195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 16876) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-29 |