| NPI | 1477189900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES OTT Executive Director 801-556-6007 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |