NPI | 1467901116 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY J ANDERSON Billing Specialist 801-973-7400 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 28971) |
Enumeration Date | 2016-09-22 |
Last Update Date | 2016-09-22 |