| NPI | 1609242593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD SMITH Owner/CFO 801-450-5817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 14695) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |