NPI | 1518075134 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA HEATON Executive Director 801-487-3276 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 11450) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2017-02-10 |