NPI | 1164521852 |
---|---|
Doing Business As | THE HAVEN |
Entity Type | Organization |
Authorized Contact | MICHAEL LOUIS RAY Executive Director 801-533-0070 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 11732) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2020-08-22 |