| NPI | 1447579115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BAILEY Owner 435-851-6821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 32253J00000X) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |