| NPI | 1477276194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON D COOMBS CEO/Founder 801-350-1716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |