| NPI | 1629714845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONN JEFFS Owner 435-381-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 225X00000X Occupational Therapist | |
| 225XE0001X Occupational Therapist, Environmental Modification | |
| 251B00000X Case Management | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2025-01-06 |