NPI | 1063891257 |
---|---|
Doing Business As | BRUNSWICK EAST |
Entity Type | Organization |
Authorized Contact | MARYANN ROSENTHAL Executive Director 801-232-2124 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2015-05-21 |
Last Update Date | 2016-06-14 |