| NPI | 1083704597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY WESTMORELAND Director Of Clinical Services 801-261-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: UT 11651) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-02-24 |