NPI | 1700837895 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK C ROBERTS President 801-487-0487 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 11540) |
Enumeration Date | 2006-05-13 |
Last Update Date | 2020-08-22 |