| NPI | 1942506290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REID JUSTIN ROBISON Partner 801-230-5899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |