| NPI | 1649561598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL MILLARD Executive Director 801-364-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: UT 370022-6004) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |