| NPI | 1609281039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN ROSENTHAL Executive Director 801-326-5180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2016-11-21 |