| NPI | 1750473237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL L MILLARD Executive Director 801-364-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2022-10-20 |