| NPI | 1215443940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LUND Executive Director 801-664-3741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2018-01-02 |