| NPI | 1003014648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ARSLANIAN Director 435-652-8488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: UT 12753) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |