| NPI | 1598017923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL NOBEL Program Director 801-373-6562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |