NPI | 1710538863 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON D COOMBS CEO 801-350-1716 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
251B00000X Case Management | |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2019-09-20 |
Last Update Date | 2019-09-20 |