| NPI | 1073046728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG WOOLSTON Business Director 801-455-4167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 50624) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |