| NPI | 1447592811 |
|---|---|
| Doing Business As | RENEW |
| Entity Type | Organization |
| Authorized Contact | DEBORAH MARIE WAYMAN Clinical Director 801-971-2075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 4780650-6004) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2014-08-08 |