| NPI | 1770984403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL BRAUER President 801-561-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 4697) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |