| NPI | 1437692241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY FISHER Executive Director 801-222-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 28275) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |