| NPI | 1982925780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANI LOTS President 801-589-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: UT Pending) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |