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