| NPI | 1659696532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DEAL Executive Director 435-634-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2010-04-02 |