| NPI | 1598087702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WALKENHORST Owner 801-465-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2024-10-01 |