| NPI | 1407949357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGGIE ST. CLAIRE Executive Director 801-977-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: UT N10601) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |