NPI | 1124474937 |
---|---|
Doing Business As | BRUNSWICK WEST |
Entity Type | Organization |
Authorized Contact | MARYANN ROSENTHAL Executive Director 801-232-2124 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 14434) |
Enumeration Date | 2016-05-11 |
Last Update Date | 2016-05-11 |