| NPI | 1710154992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HR BROWN Executive Director 801-545-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 13741) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |