| NPI | 1669952958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELYNDA VINCENT Executive Director 801-604-5342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |