| NPI | 1194260810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN SAUL Executive Director 801-849-0453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: UT 36133) | |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2026-05-05 |