| NPI | 1639711955 |
|---|---|
| Doing Business As | INTERMOUNTAIN DAYSPRING-COTTONWOOD |
| Entity Type | Organization |
| Authorized Contact | SETH GLICKMAN Intmn Medical Group Pres/Cmo Cbc 801-442-2905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-11-19 |