| NPI | 1952569352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE EVANS Business Office 801-766-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 17943) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: UT 17943) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2012-05-29 |