NPI | 1306386669 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS MACKINTOSH CEO 801-928-0474 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 13338) |
Enumeration Date | 2017-03-06 |
Last Update Date | 2017-03-06 |