| NPI | 1730530718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MALTERS Clinical Director 801-386-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2018-01-05 |