| NPI | 1487908968 |
|---|---|
| Other Name | RECOVERY WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MABEL JENTZSCH Social Worker 801-236-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |