| NPI | 1386913895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J. VISSER President 801-475-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: UT 18771) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |