| NPI | 1942667597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH JARAMILLO Director 801-414-0596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: UT 0015901) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |