NPI | 1194568972 |
---|---|
Entity Type | Organization |
Authorized Contact | NATALEE SORENSEN Office Manager 801-633-4683 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2024-06-18 |
Last Update Date | 2024-06-18 |