| NPI | 1134594286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOK JOHNSON Executive Director 801-228-8470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |