| NPI | 1982011649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE M DIAMOND Owner/Program Director 435-749-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT 8293) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |