| NPI | 1023461415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER CHILD Director Of Operations 801-268-1715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: UT 27867) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: UT 27567) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |