| NPI | 1598087702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WALKENHORST Owner 801-465-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 15432) |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| 273Y00000X Rehabilitation Unit | |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2023-09-26 |