| NPI | 1245854777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN TIMMONS Executive Director 801-438-3185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |