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 |