| NPI | 1487160875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA R ROMANO Director Of Financial Operations 801-759-1734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 51884) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 53992) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 53972) | |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2018-02-23 |