| NPI | 1689691230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ATISME Mental Health T Herapist 801-777-2622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: IA 06477) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-06-13 |