| NPI | 1346803525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE TIPPETTS BROOKS Program Director 435-767-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |