| NPI | 1891452876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN EDWARD THIBAULT CEO 435-635-0636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-11-24 |