NPI | 1194260810 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN SAUL Executive Director 801-849-0453 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: UT 36133) |
Enumeration Date | 2017-01-04 |
Last Update Date | 2020-06-26 |