| NPI | 1407129901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HUNT WHITAKER Clinical Director 801-828-7715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 18921) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2014-04-04 |