| NPI | 1477886059 |
|---|---|
| Doing Business As | WILDERNESS QUEST |
| Entity Type | Organization |
| Authorized Contact | DAVID GILLIES Billing Consultant 801-951-2317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |