| NPI | 1255224481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GERALD TRANTER Director/Owner 801-472-2533 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |