NPI | 1346765682 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL KEENAN Executive Administrator 435-673-2299 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2017-08-08 |
Last Update Date | 2022-07-21 |