| NPI | 1043515364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER JOY CHASE Case Manager 801-533-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 16103) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |