| NPI | 1124666870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ROGERS Executive Director 801-702-3539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |