NPI | 1124685508 |
---|---|
Doing Business As | BACK ON TRACK RECOVERY |
Entity Type | Organization |
Authorized Contact | JESS BLUTH Owner 801-678-0723 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2019-05-21 |
Last Update Date | 2022-03-10 |