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 |