| NPI | 1336438639 |
|---|---|
| Other Name | FOOTHILL OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | BLU RYAN ROBINSON Primary Therapist 801-851-7114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |