NPI | 1598237372 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN J LUND Executive Director 801-664-3741 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2018-12-18 |
Last Update Date | 2018-12-18 |