| NPI | 1063013886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN SAUL Executive Director 801-652-7339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |