NPI | 1932467495 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGO L VANE Office Manager 801-798-7700 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: UT 18290) |
Enumeration Date | 2012-05-02 |
Last Update Date | 2012-05-02 |