| NPI | 1770696635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HEATON Executive Director 801-487-3276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 11715) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2017-02-16 |