| NPI | 1316660467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON D COOMBS CEO/Founder 801-350-1716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-09-23 |