NPI | 1750498739 |
---|---|
Entity Type | Organization |
Authorized Contact | VALERIE FRITZ President/CEO 801-487-3276 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 11450) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2010-01-07 |