| NPI | 1629632450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE ALEXANDER CFO 801-616-7715 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |