| NPI | 1609130418 |
|---|---|
| Former Legal Business Name | INNER-VENTION BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | DARRON QUENTIN BOBERG President/Owner 801-766-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2019-04-17 |