| NPI | 1699949354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE ZUNDEL Chief Financial Officer 801-598-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: UT 0000382) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |