| NPI | 1720522618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CHRISTIAN Therapist 801-359-8862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 9548955-3502-2016080) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |