| NPI | 1306176748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALLIE J ROBBINS CEO 801-696-5257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2022-03-16 |