| NPI | 1114261070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DANSIE CEO 801-892-9680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 21164) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2013-08-19 |