| NPI | 1104461060 |
|---|---|
| Doing Business As | INTERMOUNTAIN HEALTH ADDICTION MEDICINE & RECOVERY CLINIC - LOGAN |
| Entity Type | Organization |
| Authorized Contact | JP VALIN EVP Chief Clinical Officer 801-442-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2025-02-03 |