| NPI | 1790898526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN S. ROGERS Executive Director 435-678-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: UT 11054) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |