| NPI | 1174858823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN FIELDING Executive Director 801-479-9644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: UT 7487072-0161) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2012-05-31 |