| NPI | 1720295074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MICHELLE CHILD Director Of Operations 801-268-1715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2016-04-28 |