| NPI | 1245825231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICQUELLE S GRIFFITHS Chief Operating Officer 435-773-8052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-03-02 |